The keyword is biological filtration: a lot of people tend to forget the importance.
I've never used ugfs, but remember my father using one for 20 odd years in his tank.
Besides the mentioned issues with certain fish that dig as well as sand and other obvious reasons, you have the most amazing volume for biological filtration in coarse gravel, which can be used properly by bacteria due to the flow from the ugf. Just calculate the volume of a standard (not so sure about the American measurements, thus in litres) 100 litres (25g) tank with 5 cm (2") of gravel: Thats about 16! litres (4g) of pure usable media.
No common power filter used for that size of tank can offer this.
Again, I've never used one myself, but there are worse ways to filter your tank, especially your small tank.