Hello Mike,
Sat Navs are amazing pieces of technology, but as yet they have not been fully developed into a tool that is 99.9% or better reliable. There are three issues that I have found that can be annoying, but now I know about them I can usually work round them:
The first is out of date maps - Most of the major manufactures offer map updates (at a cost) so you can keep them up to date.
Most routing software does not differentiate between types of road and the vehicle you are driving, BUT if you are driving properly you will be aware the a suggested road is inappropriate, and you simply drive past it and the SAT NAV should recalculate automatically. (There are some recent commercial models that do account for the vehicle size, but these are quite expensive.
Some sat Nav allow you to enter points of interest (POI's) My PDA based unit slows right down and has made me miss a turning if too many points are included. Be selective about what information you want on your journey.
If you use a Sat Nav to plan a journey, most will allow you to view a route listing. this will allow you to see if it is going to take you to any difficult areas.However you can usually add 'way' points to a a route and use them to ensure the Sat Nav avoids know bottle necks.
Fortunately most towns and cities don't seem to move very much, so it is still quite easy, even using out of date road maps, to make a list or mental note of the major places you need to head for or pass. The roads in Britain are also quite well signposted, so for most of a long journey you don't really need a Sat Nav,
Where they really come into their own is when you have to travel through a town or city, where the Sat Navs ability to know where you are, and to be able to give you timely clear warning of an aproaching turn or lane change is very useful especially when travelling without a map reading passenger.
Sat navs are a tool, not a complete solution, a great help in some situations. Always have a back up paper map or instructions.
I personally find it very satisfying to b able to use an ordernance survey map and tehamount of detail it has is quite amazing, stuff that a sat Nav will never tell you.