Retention: PI's free tier keeps 7 days (longer retention is paid, per vCPU); MonPG keeps the trend history that regression detection actually needs.
Granularity of attribution: PI shows top SQL by load; MonPG tracks per-query-fingerprint statistics over time, so a single query family's drift is a first-class object.
Actionability: PI describes load; MonPG carries you to plan analysis and index rollout risk on the same surface.
Platform churn: AWS is transitioning Performance Insights into CloudWatch Database Insights (with the PI dashboard retiring mid-2026), so the tool you adopt today is mid-migration - factor that in.
Cross-cloud: PI exists only for RDS/Aurora; MonPG covers RDS, Aurora, Azure, Cloud SQL, and self-hosted from one place.
Alerting: PI relies on you to look (or on CloudWatch alarms you assemble); MonPG ships database-aware alerts out of the box.