I love dsb's and will probably run one in some form for as long as I have tanks. Aesthetically, they can be a little bit ugly to some, unless you prefer the "ant farm" look, as I have come to appreciate it. In some ways, it gives insight to the viewer, owner, whoever, that there is a natural process at work down below, and you can see the inner workings of it. However, I have also built all of my stands to have the lip come up a few inches, so that in a display tank, it doesn't appear that the bottom 5-6 inches you see is dark black gunk sand. Also, one could implement a remote sand bed, although I have heard some say that this is not as effective.
The other benefits of it is the nitrate reduction side of it, hadn't been able to keep nitrates low before I used one, don't have a trace of them for about 6 months now. Also, there is a lot more area for things to live, which gives them room to multiply, feeding animals in the system, processing waste into the bed, rendering the system more stable. Just my 2 cents... Joey