Once configured and stable, the app mostly stays out of the way. Owners settle into their button layouts and profiles and stop thinking about the software until something disrupts it. For many, that disruption eventually comes: a macOS update, a certificate expiry, or a new app version can break the connection between the app and the device without warning, and the customization stops working until the app is back up.
Owners who have been through a few of these cycles tend to treat the setup as fragile. Some keep notes on the fix steps. Some have switched to third-party alternatives for basic remapping. A portion stick with Options+ specifically because the deeper features, including Smart Actions and application-specific profiles, are not available elsewhere for Logitech hardware.