Performance work gets noisy fast when people collect every metric available and still cannot explain why users are waiting. The useful review path is to connect the complaint to evidence that matters: waits that changed, blocking that persisted, plans that misfit the workload, transactions that stayed open too long, jobs that collided badly, or indexing that is forcing too much work.
That means reading more than one surface. Waits alone are not enough. Query text alone is not enough. One slow request log is not enough. The point is to connect what the database is doing with when it hurts, how it hurts, and which design or operational choices are making it repeat.