I have a Wacom tablet but I've only ever really found it useful for some graphic design work that I was doing a while back. I could see its uses for pressure sensitive tasks, like blending colors with a brush in photoshop and things like that, but I haven't really had the need. I find it hard to navigate screen menus with it, so you end up using it in conjunction with the mouse. In the end I found that, it was something that I didn't really need. It is fantastic for certain tasks, like brush work or gradient fills, and you can get better results with it faster. There are programmable buttons on them so you can program shortcut keys (but only a few) and this can also make it an efficient way to work once you get used to it. But like i said, it's nice for drawing and design, but I prefer just to use a mouse now for photo editing.