Love them! I think round toed shoes as a whole look either matronly or little-girlish, and have to wear ugly shoes to work every day as a nurse. So when I get the chance to wear cute shoes, I do!
I have a pair of really pointy tall black boots that are so cool and a pair of hot pink pumps that are pointy. Like someone posted above, the point starts AFTER my toes. The trick is getting a pair that the pointy part is short so your feet doesn't look big. I also have some everyday high heeled boots that are moderately pointed, they are hard to describe, but VERY comfortable.
The nice part of living in the south is that I can wear open toed heels or sandals almost 8 or 9 months out of the year. That solves the toe problem!