Getting a PCB mostly factory assembled for you is likely the better choice if you live in a building, as dropping hundreds of 100nF MLCC on a project can be brutal.
I guess the answer is yes one can do prototypes by hand if you take design considerations for pad access (sloppy mechanical tolerance for pencil/air rework), but probably one should be spending their time on design for lab EMC/EMI. =3
Robert Feranec does quite a few EE interviews, factory tours, and is generally accurate 97% of the time.