Tilt simplifies the local development environment for modern applications, allowing developers to work with the same services in production, testing, and development. Many users appreciate its flexibility, although some express concerns about its setup complexity in Docker-compose environments compared to Kubernetes. Experienced users advocate for its use in creating integrated environments despite various challenges, including handling Custom Resource Definitions (CRDs). There's a sentiment of nostalgia and community engagement in the comments, highlighting both the improvement in development speed and the potential slowdown in updates since Docker's acquisition.