I've seen a decent amount of production use of pgvector HNSW from our customers on GCP, but as the author noted is not without some flaws and are typically in the smallish range (0-10M vectors) for the systems characteristics that he pointed out - i.e. build times, memory use. The tradeoffs to consider are whether you want to ETL data into yet another system and deal with operational overhead, eventual consistency, application-logic to join vector search with the rest of your operational data. Whether the tradeoffs are worth it really depends on your business requirements.

And if one needs the transactional/consistency semantics, hybrid/filtered-search, low latencies, etc - consider a SOTA Postgres system like AlloyDB with AlloyDB ScaNN which has better scaling/performance (1B+ vectors), enhanced query optimization (adaptive pre-/post-/in-filtering), and improved index operations.

Full disclosure: I founded ScaNN in GCP databases and currently lead AlloyDB Semantic Search. And all these opinions are my own.