I had a grip for the 300D and the 350D. I prefer to shoot a lot in verticle mode, so I often get the grip. It does help balance the rig when I use the 70-200 f2.8 or the Bigma (sigma 50-500).
Right now I'm cameraless, but plan on getting a 30D and a grip. When I want a stealthy rig, I'll go without a grip and no lens hood. If I go to the zoo with a bigma or something like that, I'll get a grip.
I did an hour session of portriats for a friend and at the end of the session, my wrist hurt so much from having it bent to take verticle shots, I ordered the grip right after that. It's really the best of both worlds. If you have a heavy set up, such as a big lens and a flash, the bigger body helps to balance the setup. If you shoot alot in verticle mode, it's a must. If you use IS or have a big lens and use AI Servo that eats up a lot of juice, having twice as much juice by two batteries in the grip is nice.
For example, the XT would do about 400 shots with the OEM battery. By adding a Sterlingtek battery with more juice, it's worth about 600 shots, so both in the grip, you get about 1100 shot for a singel set of charged batteries.
Having a grip is literally the best of both worlds since you can remove it if you want to.
If you shoot mainly in landscape mode, the grip is not a hugh deal. If you shoot a lot in verticle mode, the grip really helps.