Long tangent, but I got the Edge or whatever stupid expensive version they have for the extra triggers/levers underneath. I have really small/short palms and don't have the reach to push all the buttons properly. I wouldn't be able to play Elden Ring at all without them. I roll and use potions with the levers instead. Even then, it is still painful after a while and some of the contortions I have to do at times can be annoying.
I have the issue of barely having enough "wrap" with my palm and pinky to grip around the hand things that are angled down a little too much. I absolutely despise that the dpad is one of those rocker pieces underneath instead of individual buttons. I will accidentally do a direction I didn't intend because I rocked the down button too far to the right. It is because the controller still isn't straight when I hold it. lt is partially rotated in my hand so I can get a little more reach upwards and it makes the dpad usable. Having to compensate the direction of joysticks is super fun. I basically have to death grip the controller with my right pinky and tightly squeezed palm to keep it stable.
When that accessible controller came out for the Xbox I was super bummed it wasn't for all platforms yet. Doesn't help I would need to have 2 kits to be able to have separate sides like joycons. Joycons have been my favorite controller of all time as I can comfortably hold them. I tried making a proof of concept sort of gel/shredded memory foam cover, which did help, but it didn't solve the severe pain in my palm, especially the area under my pinky that I use to death grip the controller. After seeing the glove Martina made after she cut off her pinky, I want to try and make a glove next to take the pressure off, improve grip, and sort of brace/support the part of my hand that I keep hurting.
It sucks that accessories keep getting more expensive. I haven't had any issues my my edge, but you bet I would be utterly infuriated if it didn't last when it is almost half the price of the console itself. I have some mechanical keyboards and those things can really get up there in price too. Ergonomic mice are not exactly cheap either. I hate having to use a trackball but so far the only comfortable one is that Logitech one and I have to use the extra angled base it comes with. I game with it.