Does it still work when using India (via a VPN in the UK) using a India debit card?

Question as above?

Do I need to do anything else like change my google region to India?

Just set VPN to Albania and watch ad free. No need for subscription

where tf did you get an indian debit card?

I can do it for you, if you want lol. Serving more than 50+ accounts a month at the moment.

Does this work with the YouTube app on iPhone?

Any device as long as IP address is in Albania