I also recommend the PIV. I have it here in my A4000T, connected through a monitor switcher to a 17" PC monitor. It hasn't given me any problems (I don't know much about graphics cards and even I could install it with no problems). I have three possible video sources to choose from, output to one monitor: the Picasso output, the flicker fixed native AGA display, and the PC display. The switching of the first two is handled automatically by the PIV, and the switching between Amiga and PC display is handled by the monitor switcher (a cheap and crude manual box for now)
I am quite certain that if there was a poll about the best classic cards that pass through flicker-fixed native modes, the PIV would come out tops. I read a lot of reviews before I chose the PIV, and I was tempted by the Prometheus/Voodoo combination but then I would have needed an external flicker fixer to keep my native modes. I believe it was Karlos who pointed out that many of these flicker fixers are 15-bit rather than 24-bit, and that is what turned me off that option. There are many users here who have had problems with external and internal flicker-fixers, but I haven't seen a complaint about the PIV flicker-fixer yet.