You'd be surprised how fast you can change batteries when need-be. That said, I shoot about 10 a year so far, and have never wanted anything more than the internal batteries.
People will argue till the end of time with me, but that's my opinion.
I think a key is to change them before they go out. Maybe it comes with experience, or maybe just luck, but depending on the factors I mentioned earlier, I know when my batteries need to be replaced. If I'm using it heavy in the church, I make sure to swap before the last kiss, so I can get them coming towards me at the aisle. I might put fresh ones in for the formals. I always put fresh ones in for the grand entrance and first dance. Cake cutting/garter stuff also. Dancing at the end, I might let them ride a little longer.