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I really like this idea because it helps organize finances accurately in a clear and automated way, saving time on bookkeeping. Categorizing each expense separately also helps track profits more accurately, similar to playing https://drift-boss.pro Drift Boss, where each drift has to be carefully calculated to avoid falling off the track. Such an automated system makes the business run smoother and more efficiently!

We are using Paypal for pre-payments in a lot of cases. Then we invoice out of Practice Manager. At the moment we create credit notes for the pre-payments in Xero which are then assigned to the invoices when they are pushing into Xero from Practice Manager. A bit clumsy, but still seems the quickest way. So if we could automate the credit note creation from PayPal payments that would be great. I guess, we could build that with the current API function...

If you invoice for your service and get paid later, then you should be entering invoices at time of sale and matching the paypal receipt with the open invoice.
If you receive payment at time of sale, why would you need to enter a sales invoice? Surely a receive money is much simpler and practical - especially if you have a large volume of transactions.

auto set up of customers details with the recurring payment details would be great as well

Paypal integration is ugly at the moment - especially if you don't have mulit-currency Xero. it would be great to increase support for this. I use Paypal a lot for my overseas clients.