There were often boundary issues around who talked to whom, who was an ISP, who wanted to be, who was an intermediary. Having a pair into an MDF was the least of the problems sometimes, I went to some meetings (I'd rather forget) about peering (financial settlement) issues. Ideally yes, you'd just plug stuff in and go. In reality, that wasn't how business worked.
Labtam had a /16 direct from IANA, (not through AUNIC) from their manufacturing days. Now, that would be worth $3.5m -At the time, it was a godsend but not enough. The company had been bought at a low point in Australian PCB manufacturing at a stock-sale floor price, by two "entrepreneurs" who may well have been good businessmen but didn't understand the Internet one bit. Maybe they understood it too well, I remember a screaming match at a pre-sales tech meetup where one of them floated heads-up 3D VRML shopping malls and when I said "not technically feasible yet" I was roundly pasted for being defeatist. I didn't last in that company long.