Last year I replaced my macerator preemptively when I didn't like the sound it was making. 20 minutes with no mess to swap out the unit. I did upgrade to a higher amperage model for a higher flow rate which entailed a larger fuse, moving to a different fuse location in the panel and a higher rated switch in the wet bay, but all that was not difficult. If you stay with the original model the swap out itself is quick. Have a bucket to catch the effluent as you disconnect the bayonet fitting. A strap wrench makes removing the LTV bayonet adapter to reuse on the replacement easy.
This is my first RV so I can't compare, but I have been very satisfied. I check the clarity of the effluent by simply lifting the head out of the sewer while it's pumping. Not messy at all. I no longer wear gloves, although I do wash my hands afterwards. I also confess to leaving the cap on the first time I used it, even after reading repeated warnings. I'm a little slow on the uptake. Fortunately, I caught it before the explosion and was able to direct the pent up pressure when I removed the cap.
I did develop pin holes in the hose, duct tape got me thru the emergency. When I replaced the hose I covered it with a braided polyester sleeve.