Most owners I talk to want one of two things. Either to step back a bit, because the business has taken over more of their life than they meant it to and it can't really run without them. Or to grow, and they'd have a go at it tomorrow if they knew which lever to pull first.
What it looks like day to day tends to be the same either way. Turnover's been roughly the same for three or four years and you can't see what breaks it, or you're flat out one month and quiet the next with no real idea what's coming.
And both get stuck in the same place. You're in it every day, so there's no time to work on it properly, and the noise of running the business makes good thinking about the business the hardest thing to do.
A lot of owners in this position have a look at getting some help, find that the people offering it either quote something ridiculous or have never actually run anything themselves, and decide to carry on as they are. Which is fair enough.