I have been putting mobile radios in cars far longer than that 30 years you mentioned.
Yes, the task is more difficult than before, but it is doable. I can say that because I have done hundreds of installs. AND one of the things I delight in is taking a 3/4 holesaw to a brand new car. It is thrilling, especially if the owner is watching.

Advice: either sit down and draw it out and experiment with the auto disassembly, in other words start taking the thing apart to see how you are going to run the cables OR hire someone that has the experience to do the deed.
I sometimes on my own installations to get things JUST the way I want them to turn out, will spend some time trying out various positions and ideas of where to put things. But I always wind up with a solution that works no matter how tough it may be. Think outside of the box, and look at what others have done before you to solve the same puzzle.
Of all the holes I have drilled in my own autos, I have never had a dealer say a thing at trade in time. Not even once. Again, if you don't have confidence going in to the job, then hire it out and have someone that DOES have confidence do it for you.
From my point of view, no installation looks as ugly and slipshod as a magnet mount with coax thru the door and a cigarette light plug for power with the rig laying in a seat or on the floor. That is a bad installation for a number of reasons. Drill those holes! Punch those grommets!, make those permanent connections. Yeah, that is what I am talking about.
Good luck on your endeavor.