Exactly why I got ride of my stick pickup at the time. Commuted to work through city traffic with something like 30+ traffic lights on the route. I developed a very painful hip flexor as a direct result of the constant shifting.
Yeah, manuals were great in the day when they delivered greater gas mileage (not anymore) or if you live in a rural area of the country, but for urban and even suburban traffic, no thanks.
I wish I learned how to drive one (just for the experience), but I would never buy one living in the NYC metro area.