Pipe sizing is still done by hand
Identify every fixture. Assign fixture units. Sum loads along every branch and riser. Convert to flow rates. Check pressure at the worst-case fixture. Size every pipe segment against code tables. For a 3-storey residential building, this takes 8–16 hours of an engineer's time — and every design revision means doing it again.
It's not that better methods don't exist — it's that the industry's workflow never modernized around them. An industry survey of plumbing designers found that 43% still size systems using Hunter's Curve or a derivation of it — a probability model developed in 1940 — while another 35% use IPC/UPC code tables built on the same foundation, and 12% rely on self-developed methods based on personal experience.1 Only 10% had adopted IAPMO's modern Water Demand Calculator. The dominant "tools" behind all of these methods? Hand calculations and spreadsheets, rebuilt from scratch, project after project.