I think for the most part it does not render the vegetable or fruit inedible. Tomatoes that I missed that are clearly rotting with necrotic black flesh and white foam oozing from them and such, I'll give to the chickens or toss in the
compost pile. To me, that's not good eats. I don't mind spots or blemishes and happily eat ugly produce. If I pick some leeks from the garden that have onion maggots in them, they're generally only in the outer couple layers, and I'll peel those off and have a smaller but perfectly fine looking leek. If some critter has burrowed into the bottom of one of my watermelons or cantaloupes, I'll cut the top off and eat that as the worms and ants have only gotten into the bottom portion, which goes to the chickens again and they absolutely love the living garnish.
At the beginning, my wife thought it was gross, but is coming around to it and is more comfortable with my produce selection habits. We're both Americans, and grew up with grocery stores and a false impression that only "perfect" fruits and veggies are good to eat. I've shed that notion and my wife has largely accepted blemished produce, but I'll go a little further with it than she will. I wish grocery stores would offer, for example, bruised apples in a separate bin for a fraction of the price, I'd buy those all day.