However, I know things look good on paper and don’t always pan out that way once you’re actually there.
One of the things about SV is that I don’t fee quite so out of place and weird for wanting to work all the time.
People talk about "cost-of-living" like it's some non-negotiable tax that you have to pay to the world. It's true you can't get the same lifestyle at the same price as a low CoL area - no humongous 5 bedroom house with a massive backyard. But it doesn't mean your life has to necessarily suck.
I think the only thing I miss out on by not working in SV is working with true world-class talent.
What I meant was you can't have the same lifestyle in SV as you would in a low CoL area - no humongous house etc. You'd have to adapt and especially downsize on living space. But if you're OK doing that the financial rewards are large.
SV is fine if you never want to buy a home, start a family, live without roomates etc..