For a certain class of applications ('SQLite level'), there’s not even much of that, though, other than ensuring there are no missing or obsolete indexes, which you can take care of with 15 minutes of quality time with the EXPLAIN statement every now and then.
When using a database with persistent index statistics (like SQL Server and Oracle and, yeah, PostgreSQL), it’s important to at least ensure those get updated on a regular basis (but that’s almost always automatic and sufficient unless you're prone to not-usually-done bulk operations) and to optimize or rebuild the underlying tree on a semi-regular basis. This does require some additional non-default setup and monitoring, and can be surprising when you first encounter it.
But it’s not exactly an obscure-slash-secret bit of DBA lore either, unlike what's suggested here...