Is the size of the updates an issue? This is something I never considered with regard to OS X.
There are a couple of different types of updates for OS X. The first is a 'delta' updater that takes the OS from a previous point release to the current. e.g. 10.5.1 --> 10.5.2. These are smaller as less data is required for this type of update. The 'combo' updater is for more than one step, e.g. 10.4.x --> 10.4.11. These are larger as more file changes are required.
If you use Software Update regularly the chances are you are up to date, and delta updates are used. These are anywhere from 30MB-150MB. If you manually update, or are more than 1 update behind, a combo will be applied, which are anywhere from 80MB - 300MB (although there was one once that weighed in at 458MB!).
So in summary, they are of reasonable size, but generally come once every 2-3 months, so aren't that often.