LEO stuff is more complex because the Horizon keeps getting in the way!!
Regarding directionality, then yes, pointing your antenna the right way is of course important, but no antenna is truly collimated, so the beam of radiation spreads out into a cone, and so by the time it gets to the space craft, it’s wide, and hence absolute positional accuracy iless critical. Of course, that also spreads out your RF power and needs a higher transmission power, so it’s a compromise.
For example, the transmitter on Voyager 1 is just 22 watts, which is roughly the same amount of power as one of the indicator light bulbs in your car! Because it’s 18B miles away mind, we need a 70M dia dish to be able to resolve that signal above the noise floor, and when transmitting up to the craft, we need to send with MUCH more power (because it only has a 3.7M dish). Current round trip for those signals is 33hrs.