Ideally, you'll wear more than one pair of shoes so that they don't become worn out and smelly from constant heavy use.
I dunno what other folks are doing, but I'm very active and involved, do a fair number of procedures, and am among the last to jump at using shoe protectors, yet I've never had any issues with body fluid stains on my shoes. I do have a separate pair of OR only shoes, but that's just hospital policy where I work, unless you want to use shoe protectors (which I HATE).
That being said, I don't know what the other brands are, but I moved to mostly just Allbirds at work because they're light, washable, and comfortable while still looking reasonably professional. I can still wear them when I have to change to white coat attire. I started with black, but ended up with a few colors that I really just match to my outfits, which generally helps them look more professional instead of flashy. They do get commented on (positively) now and then, but my feet are also noticeably small, so that gets commented on by itself anyway, so I think it draws attention.