In previous blog posts that I've written about VACUUM, and I seem to be accumulating an uncomfortable number of those, I've talked about various things that can go wrong with vacuum, but one that I haven't really covered is when autovacuum seems to be running totally normally but you still have a VACUUM problem. In this blog post, I'd like to talk about how to recognize that situation, how to figure out what has caused it, how to avoid it via good monitoring, and how to recover if it happens.