Fusion still struggles with many surfacing shortcomings it brings over from Inventor.
Other other CAD applications do not exhibit the same surfacing issues.
For example below the loft without rails will create pinched surfaces
Users need add 3D rail curves to stabilize the loft surface
without 3d railswith 3d rails
This adds additional sketches that overlay with older sketches because Fusion cannot make a 3D sketch tangent to a surface/sketch without projecting it into the sketch
The sketch engine also still exhibits stability issues which makes this workaround also prone to fail when the design is changed.
Patch while working magic in many cases produces however rather undesirable surface qualities which makes it less optimal to use when you are looking for a smooth surface flow. Sampling edges from patch surfaces also can lead to many issues.
Improving the surfacing tools will produce the desired result instantly and eliminates all the other pitfalls.
This is an older discussion / topic and I thought to bring this up again.
2019 we have - Fusion has many cool things like generative design yet surface and sketch engine are still the weak points.