Experience on impellers are that they should be swapped out every 2-3 years, no exceptions or you are putting your expensive motor at risk of damage that will cost a lot of money to fix.
Impellers in outboards and other marine engines are made of rubber that degrades over time due to heat/cold cycles and wear. The rubber fins lose elasticity and the tips of the impeller fins degrade over time. This causes a loss of efficiency, cavitation and sucking air in the system.
So an old old impeller might be still pumping but it's not 100% full flow.
Another thing to keep in mind is that if you run an impeller to failure you'll have fins and pieces of the impeller breaking off and going downstream through the r/w cooling system. this can cause all kinds of secondary issues that are expensive to fix. #1 culprit on inboards is pieces of impeller blocking a tube and bundle cooler or making it all the way to the thermostat or exhaust. You have this happen and you got pieces stuck in random places that are difficult to find or flush out.
Avoid running the impeller dry at all cost. If you got to start up with no water for whatever reason, a couple seconds max.
Changing an impeller yourself is not hard but there is a risk of damaging something else in the process i'e. damaging the splines on the driveshaft or powerhead, damaging the splines on or bending the shift shaft, stripping out the housing screws that go into aluminum, putting the impeller on in the opposite direction potentially causing damage, or misaligning something where you end up sucking air and have to start over.
So if you are on the fence about whether you can do it, send it to the shop if possible.
If you got an mercury Alpha drive, send it to the shop as reinstallation can be harder than it looks for a number of reasons unless you do it all the time.
I'd recommend using only OEM impeller kits, and also the full kit, not just the impeller.
Grease all splines on propeller reinstall. A prop seized to the shaft can be a big problem.
If you got a jabsco style pump, Mercury Bravo or Volvo pump then you are dealing with brass and you have to be real carful not to mar the mating surface on the cover or the pump housing. You ding the housing on removal or install and you might have to replace entire housing which is expensive. Also the risk of marring screws into brass housing and thin o-rings.
tldr; water pumps have to be done right with little room for error or you will cost yourself a bunch of money.