Does using VR negativity affect using joystick and throttle?

A VR headset obviously you can't see what's physically around you when it's on your head. But also it's arguably the best monitor to use with a motion simulator. I have the warthog joystick (lots of buttons etc) how does using VR impact on those types of controls? I don't want to buy any more complicated gear if it's going to be impractical to use because VR restricts being able to see what button I am pressing. I kind of want controls anyone can jump on and use as opposed to being optimised to only me