In recent years, Database Management Systems (DBMS) have increased significantly in size and complexity, increasing the extent to which database administration is a time-consuming and expensive task. Database Administrator (DBA) expenses have become a significant part of the total cost of ownership. This results in the need to develop Autonomous Database Management systems (ADBMS) that would manage themselves without human intervention. Accordingly, this paper evaluates the current state of autonomous database systems and identifies gaps and challenges in the achievement of fully autonomic databases. In addition to highlighting technical challenges and gaps, we identify one human factor, gaining the trust of DBAs, as a major obstacle. Without human acceptance and trust, the goal of achieving fully autonomic databases cannot be realized.