For me, I wind up doing the 'technical' thing with a DSMB, launching it right before I start my final ascent as long as visibility allows it. Makes it easier to 'fully fill'.
Unfurl it, puff a bit of air into it to get it to straighten and pull upward, look up to verify nothing above you, then fill till it's making you ascend while trying to stay negative (exhaling and the like).
I personally use a spare LPI hose and the inflator stem. I used to fill it from the bottom using a spare regulator, but it's one more thing to juggle and usually wastes at least some gas while trying to get the mouthpiece far enough into the duck-bill. I find using a LPI hose much easier.
Regarding the chatter about how often they are really used, it all boils down to the location, type of diving, and what the boat captain or dive leader wants to see.