I've played around with Google Sitemaps on a couple sites. The lastmod, changefreq, and priority parameters are pretty cool in theory. But in practice I haven't seen these parameters affect much.
And most of my sites don't have a Google Sitemap and that has worked out fine. Google still crawls the site and finds all of my pages. The old meta robot and robots.txt mechanisms still work when you don't want a page (or directory) to be indexed. And I just leave every other page alone and as long as there's a link to it Google will find it.
So what reasons have you found to write a Google Sitemap? Is it worth it?