I have now completed 4 different waterfalls and IMO the are no more a PITA than the back wall it's self. I mean you have to do a wall anyway so why not throw a few carefully arranged rocks in too.
The first one is on my 25 gallon paludarium-I don't care for that one as I wasn't able to completely hide the pump. (just a mini jet)
the next 3- I used a 501 turtle filter puting a piece of rigid tubing behind the wall to run the filter hose through. then there are no electrical cords to hide, and it filters the water too.
the best on though I put the waterfall in the corner of the tank-a 46 gall bowfront. seemed more natual somehow.
I will try to get some pics next week-will have to borrow a digital

Cindy