Aside from pretty simple `__using__` macros, most Elixir devs come to appreciate macros and then elect not to use them in the most situations. Most people who do use macros have a very small Macro that just returns the AST for a function call after some tiny little adjustments to the arguments is made.

There are a few exceptions where there are very large projects that make heavy use of macros (Phoenix's router, Ecto), but they are by far the exception. Most of the macros you use every day are simple ones.