I've used Postgres at a few places and the #1 problem was always high availability, not scaling. One Postgres cluster could easily handle 100000 transactions per minute, but when a primary node went down it was a page and manually failing over to the spare then manually replacing the spare. The manual tooling was very finicky but at least it worked, no automated solution came even close. Lack of a good HA story is why I avoid self-managed Postgres as much as possible.