I've done some building and repairing of electronic effect pedals for guitar and of music circuits (amplifiers, simple synthesizer modules, etc). At that level, it is possible to understand the signal flow using a schematic and diagnose problems using a voltmeter and sometimes an oscilloscope, if you have some basic knowledge of electronics and a sense of logical troubleshooting. This is with discrete components - resistors, capacitors, transistors, and simple common ICs like op-amps and occasional use of CMOS ICs, delay chips and so on.
However, it is a lot easier if you already know what the circuit is supposed to do. If you just look at the schematic without knowing whether it's a distortion pedal or an envelope follower, you have to figure that out and break the circuit into its components before diagnosing it.
People who work on such circuits without previous electronics training have a tendency to assume that the most complicated part of the circuit, such as an IC, is the likely source of problems. It's rarely the IC! Problems are far more commonly things like cold solder joints, bad switches, failed capacitors. Just as pandemic lockdown started, my cable modem failed. It's a device full of large custom surface mount ICs that one could never understand - but the part that failed was a 20 cent power supply filter capacitor, the one part I could replace in 5 minutes.
I took a basic electronics course in college, which was enough to teach me what an op-amp does for example. People without that training often think an op-amp is a device full of magic beans and guitar tonality. It's actually a precision high-gain amplifier that does one thing, drive its inputs to be equal. The internals of op-amps are an amazing work of decades of engineering discipline that you don't need to understand to use. The feedback circuit around the op-amp, a bunch of few-cent resistors, capacitors, and potentiometers, is what differentiates one audio circuit from another.