Fully agree!!!
At Ferbritas (Railway engineering)CAD is used "as humans use oxygen", on a daily basis, for several decades and, to some extent, we are newcomers to the GIS world.
However, we already have this experience (bringing toguether GIS and CAD) in the prelimary stages of railway infrastructure design and at the detailed design phase, with good results to customers and to ourselves. We keep developing it.
In our view and in accordance with this experience, the value added with this "happy mariage" evolves on an exponential trend. The main difficulty is to start.