Still utterly indispensable, and still the first add-on that gets installed to any Firefox installation.

As for the recent UI changes: the developer's hands are tied (VERY tied) by Mozilla's changes to Firefox v57+, which completely removed the earlier support structures - so instead of complaining, please show a little more respect and learn something of the background/new interface:
https://hackademix.net/2017/12/04/noscript-quantum-vs-legacy-in-a-nutshell-2/