I think I have adapted well, I don't even notice the trash around me anymore, it is just amazing colored grass or paving.
The lights issue someone was tearing on about, that is why we have inversors.
The roads don't bother me, nor does the driving, like I said, I have adapted well to those annoyances some take to heart.
The whores, what whores, I must say that unless I go to a seaside town where I will find foreigners then I never see them, other than the odd one on El Conde, again, where we find foreigners.
The drinking and loudness, again, you have to be looking for that, you aren't going to have to put up with drunken dicks sat at home on the balcony with a cup of tea. Noise? Well, should maybe have considered that before moving where you did, but to be honest everywhere is noisy here, even silence is loud.
biggest issue for me is trust, I can't trust anyone to any great extent, from other foreigners, to natives, police, legal system, basic human rights or lack of. I can handle all the issues many seem to consider the evils of the land, but until you really need the system to work with you, or for you I don't think many have experienced the real bull$hit this land can throw at you.
Would I do it all again if I didn't have personal responsibilities here? No, there are far more easier, chilled out, cheaper and peaceful places in the world to hang your hat, hell, you'd think every native scratching at the doors to get out might have been a hint to some of us.
what is the worst thing? I dunno, but I know there are worse things than living here as a foreigner, we could be Dominicans living here unable to have options if we did choose to leave.