PostgreSQL is great, but I don't think your statement is particularly true.
Process per connection is pretty easy to accidentally run into, even at small scale. So now you need to manage another piece of infrastructure to deal with it.
Downtime for upgrades impacts everyone. Just because you're small scale doesn't mean your users don't expect (possibly contractually) availability.
Replication: see point above.
General performance: Query complexity is the other part of the performance equation, and it has nothing to do with scale. Small data (data that fits in RAM) can still be attacked with complex queries that can benefit from things such as clustered index and hints.
Process per connection is pretty easy to accidentally run into, even at small scale. So now you need to manage another piece of infrastructure to deal with it.
Downtime for upgrades impacts everyone. Just because you're small scale doesn't mean your users don't expect (possibly contractually) availability.
Replication: see point above.
General performance: Query complexity is the other part of the performance equation, and it has nothing to do with scale. Small data (data that fits in RAM) can still be attacked with complex queries that can benefit from things such as clustered index and hints.