I use the Patch environment quite a bit. Having a background in Catia, somethings just drive me crazy, which may be why the Patch environment is so underrated. One in particular is having two intersecting surfaces and wanting to fillet them together. In Catia you can select the two surfaces and an arrow pops up for each surface indicating which direction the fillet should go on the surface so you essentially have four options depending on which way you face the arrows. In Fusion you need to first trim both surfaces, then stitch them together then finally fillet the edge. Working with surfaces this makes the Timeline way longer than it needs to be by adding three more commands than I see necessary before you can even fillet.
I can provide some examples if anyone is interested.