But there has been zero problems over the last five years or so.
I've experienced some of the NAT nightmare with old generic physical handsets about 10 years ago, and where the discovery of STUN really helped.
Things appear to have vastly moved on, even today AAISP document their STUN server, they don't seem to think it is needed; but perhaps because they assume everyone uses AAISP broadband and assigned a public IPv4 to ever device and uses firewalls.
My parents have a Grandstream ATA which just works behind NAT from a Virgin Media coax cable hub/router.
Routers may have a SIP ALG (application layer gateway) that tries to modify packets as they go through, but I assume TLS has stopped that sort of thing, and I always disable it on my ASUS.
26 years of broadband connectivity since Sep 1999 trial - Live BQM