My experience is that even with good tools and good microscope, there is a relatively sharp threshold in difficulty. Basically, your hand trembles a given amount; if that amount is smaller than the component, it is going to be easy. if it is larger, you'll have issues. I used to be able to do 0603 relatively easy, and it was possible to do 0402. Now, 0805 is easy, 0603 possible but I don't look forward to it, 0402 I can't do. (I hate getting old!)