I've got a (now slightly antique) Wacom 6 x 9" tablet, which is actually smaller than the newer 6 x 8" ones, not allowing for the separate power supply. Anyway, I find it super-great in Fractal Paint (either version 2X or 5), fairly useful PhotoShop, and I don't bother with it in anything else, but for working on texture maps it's a big help. I usally reach for the mouse when I have to do some serious double-clicking, though, as my tablet does't have a button like the newer ones. Anyway, your get used to it, just don't look at the tablet, look at the screen. I've also got a Logitech 4 button mouse that earns its keep in 3DS Max, which supports all the buttons, which suprized me the first time I tried to use 'em!