Live rock (or any rock) was not available when I started my tank so I always took rocks from the ocean with as much life on it as I could find. I am in New York so many of the creatures did not survive but I assume the bacteria did.
I also used to take garden soil and dump it in for bacteria.
After captive reefs were available, when I bought a coral, I would ask for anything on the bottom of their tank that had any type of life in it.
Refugium or sump "mulm" is a great source of life.
I never worried about pests as they were never a great problem and 100% of the time left on their own with no help from me.
The only pest I have now is sponge that covers all the available real estate in my tank and I am sure will always be there but I am old so I probably won't have a tank very many years longer.
I feel diversity is the key to this hobby. I also feel dry rock, quarantine, medications etc, are the downfall of it. As my reef grew older as did I, I have been going more and more towards a natural tank with natural food, natural water, natural bacteria and bio diversity.
I have not had to quarantine or medicate anything in probably 45+ years and never lost a fish to a communicable disease. I think it is the naturalness of the system and lack of store bought "cures" that allows my system to flourish with out the problems many Noobs have.
Algae, flatworms, cyano, ich etc. all takes care of themselves with no help from me except providing bio diversity and natural foods with living bacteria like nature intended.
Now I am going to go eat some worms.