The State of Database DevOps survey highlights the challenges of integrating database changes into a DevOps process, with synchronizing application and database changes being the biggest challenge. The relational database model is not well-suited for Database DevOps due to its impedance mismatch between domain classes and database structure, requiring frequent updates to ORM classes and coordination with DBAs to update the production database schema. NoSQL document databases simplify Database DevOps by offering schema flexibility, no impedance mismatch, and scalability, allowing developers to operate directly on JSON data and derive meaning out of it, without the need for an ORM or coordination with DBAs. However, NoSQL is not a panacea, and relational databases may be a better fit for systems that require complex transaction logic or real-time data warehousing.