Our main issue was the lack of a synchronous gauge. The officially supported asynchronous API of registering a callback function to report a gauge metric is very different from how we were doing things before, and would have required lots of refactoring of our code. Instead, we wrote a wrapper that exposes a synchronous-like API: https://gist.github.com/yolken-airplane/027867b753840f7d15d6....
It seems like this is a common feature request across many of the SDKs, and it's in the process of being fixed in some of them (https://github.com/open-telemetry/opentelemetry-specificatio...)? I'm not sure what the plans are for the golang SDK specifically.
Another, more minor issue, is the lack of support for "constant" attributes that are applied to all observations of a metric. We use these to identify the app, among other use cases, so we added wrappers around the various "Add", "Record", "Observe", etc. calls that automatically add these. (It's totally possible that this is supported and I missed it, in which case please let me know.)
Overall, the SDK was generally well-written and well-documented, we just needed some extra work to make the interfaces more similar to the ones we were using before.