What I've found is that it is time consuming but fairly easy to keep everything tidy when you are just dealing with Audio, Video and game consoles.
Where it gets very hard is when you throw in a HTPC or home controller PC with a bunch of USB periphrials, a NAS box, your router, you have everthing ( 2 Tivos, HTPC, XBOX, XBOX360, Blueray / HDDVD player) plugged in to the internet and some kind of multi room video switching and distribution equipment.
you have more than quadrupled the number of cables, some of which you don't make yourself. I think the key is for things to be laid out well. I have all my power (lot of cables given all the other stuff in the rack like modulators, slingbox ...) on 1 side of the rack and signal cables on the other, with a bunch of stuff down the middle that won't fit on the sides.
It just takes time. i've redone mine about 4 times now because I am a tinkerer and constantly replace stuff. My pics are in here somewhere.
However, Strange's cable management is very good.