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I talk with a lot of folks that set their database up, start working with it, and then are surprised by issues that suddenly crop up out of nowhere. The reality is, so many don't want to have to be a DBA, instead you would rather build features and just have the database work. But your is that a database is a living breathing thing. As the data itself changes what is the right way to query and behave changes. Making sure your database is healthy and performing at it's maximum level doesn't require a giant overhaul constantly. In fact you can probably view it similar to how you approach personal health. Regular check-ups allow you to make small but important adjustments without having to make dramatic life altering changes to keep you on the right path.
After years of running and managing literally millions of Postgres databases, here's my breakdown of what your regular Postgres health check should look like. Consider running this on a monthly basis to be able to make small tweaks and adjustments and avoid the drastic changes.
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