What the rogue really suffers from it the hp mechanic.
In a game without escalating hit points, any attack from stealth or flank is deadly, becasue the defenses you have instead of hit points (parries, dodges, defense values) generally do not work well when you are unaware. To emulate this in the AnD hit-point-paradigm, we have Sneak Attack. I see sneak attack as a way to circumvent the hit point rules, essentially a gamey mechanic. But when you try to apply a "simulationist" approach to hit points, you get things like precision damage that cannot affect certain monsters or anyone with concealment. The more "realism" you try to apply to the rogue, the more the basic gamety of hit points become glaring.