I disable the automatic updates as soon as I install Windows. I find them very annoying, and unless there's a serious issue with that version of Windows, I'd rather just wait a couple of years for the next service pack or something, before I install the updates.
There are serious issues on an extremely frequent basis with Windows and all it's applications. Whether it's the OS, Office, or IE, it's rare for there not to be critical updates on a monthly basis. This month was the first time in four years that my team had the option to defer patching til next month.
