yea im doing my masters in dft research so ik abt this. depends what u want 2 simulate! chemists more do molecular dynamics type stuff and will use experimental data for fitting data etc. like uh what surface of a metal water will react with from thermodynamics or something. (that isnt my field lol i just know a lot of catalysis guys.)
truly ab initio methods involve figuring out electronic properties from scratch like ionization energy or bandstructure. the real issue is that we dont have exact relations for the exchange and correlation terms. we can know the kinetic energy and charge screening, but we dont know how the electrons are interacting with each other. generally the xc term is treated as a function of electron density or its gradient (see: lda, gga, meta-gga) but there are so many different ways to approximate that. different models are good for different applications also, like transition metals vs organics. and then theres the issue of basis sets (most people use gaussian basis sets that have been tuned over many years but theres also plane waves and finite element methods) which can also change results. and even once u have a decent approximation of density you can try perturbative methods (GW family, delta scf i count also) to try and improve the approximation. i am rambling and typing this on my phone. essentially yes, but often calculations are a little inaccurate. but more accuracy has a higher computational cost, which makes it hard to run larger simulations. tradeoffs of engineering. hope this was coherent.