What issues do you have? I use Inkscape on Mac almost every day and lately hit very few bugs. I think a lot of them have been fixed in the last year or so.
It used to be almost unusable with all the UI bugs (can't close tabs when you open them, can't resize the window without panes bugging out or the app crashing, etc).
I get the occasional crash where it just closes completely for no reason, but very rarely in the last year.
My top 2 picks: 1) The fact that dialog windows almost always open on the wrong display if you have two displays and the external is the main one, 2) The fact that windows' positions/sizes are not remembered, There are a few other things (for example, occasional performance issues) but these two annoy me the most.
Aside from that, I absolutely LOVE Inkscape - there are no better tools if you want to have granular control over the SVG.
Edit: here's another one, not sure if macOS related tho - auto-selecting the parent when clicking the path underneath it. Because of that, I can't use a hotkey to switch the visibility of the selected path on/off (Inkscape switches the visibility of the parent layer instead, affecting everything that's inside).