miked,
I don' understand your question use strictly surfaces and rarely if ever use solids. Why would anyone do this? That would be like modeling only with datum curves, or modeling only with datum points. Surfaces are simply another feature used to create your end product, a solid.
Here is a scenario: Lets's model a cube! I'll do it with solids. There, I'm done! I extruded a 1 square a depth of 1. Done.
Now you do it with surfaces. Extrude a 1 square a depth of 1 (make sure you pick capped ends), then use the create protrusion use quilt command. Or, build 6 seperate flat surfaces, do 5 surface merges, then use quilt to make it solid. Does anyone see my point yet?
I don't get it when people ask this question about modeling with (or more incorrectly IN) surfaces. Surfaces are a feature, just like curves, points, datums planes, whatever.