Been using it for over a year.

My banking app just stopped but idk the reason yet. Calling today to figure it out.

It depends on your tolerance and how much permissions you give apps.

Here is how I run it. And I welcome people to point out any potential security or privacy holes:

Pixel 7a

Aurora store

No permissions allowed on Google play store or Google play services.

No Google apps that require any sign in

I do have Google and assistant installed and sometimes I play with permissions to get voice control to work on Android auto but mostly I remove all permissions.

Minor annoyances:

android auto voice control is wonky

With play services denied network access certain notifications won't work (life360 for example) - but generally I don't care because I hate notifications.