Folks sewed childrens clothing, inset sleeves, hemmed pant leggs, etc.. for nearly 100 years on flat bed sewing machines. Once I learned to sew "in the round, on the flat", I found that I could actually sew a smaller diameter item on the flat bed surface than I can fit around any of the free arms. Having a machine with a smaller & narrower foot really makes things easier when sewing tiny items.
Anyhow, I recently did a blog entry illustrating this techique while hemming a pair of jeans:
How to Hem Jeans or Pants on a Flat Bed Sewing MachineFor me, the flat surface it preferable to using the machine on top of the table.