I personally own a D800, and also several medium format film cameras as I don't have the money to buy any digital back (until recently, because now the p45 seems to get cheaper every minute).
So my opinion regarding medium format digital backs is completely based on the material I have gathered on the internet.
My personal opinion, and I believe Synn has pointed out something similar on his leaf puchase thread, is that the d800 (for example) has this sort of color bleeding (I've made this name up to describe it somehow). I see the effects of this very clearly in some situations.
For example,the dynamic range seems huge, but there is no way of using it without Photoshopping/masking many layers, and even then it depends a lot on your skills. If you try to raise the shadows or lower the highlights you will immediately get this Tonemapping sort of look (bad HDR look).
Try to compare this to one of Eriks samples,http://echophoto.dnsalias.net/ekr/Articles/Shoots/BernardSamples/Distagon_50/ When you raise or lower the shadows it seems to only affect the shadows, if you do the same on the D800 you will get halos around every detail, and the color quality goes down the drain dramaticly. There seems to be some sort of inertia spanning over larger areas (dozens of pixels) which gives this sort of tonemapping look. I'm sorry I don't have any technical term for this, but I think you all know what I'm talking about. Synn's samples of nightscapes are another example where color seems to bleed, or just being ugly. Of course if you go all crazy with this with the samples provided by erik you will get that problem too, but there is a big difference to the d800.
Another scenario is in skin colors. I guess you are familiar with the way c41 films render skins (portra 160 for example). I'm talking about this slightly over exposed skin look. Well, try to do the same on a d800, there will be no detail, the skin seems like one big blub that only get's sort of details when it goes into the left side of the histogram. I'm not talking about recovering highlights (which is also pretty terrible, but that's where film wins over both digital backs and cmos), but about this strange behaviour where the subtilities of lighter skin can't be represented by the D800, but both C41 film and some samples I've seen of digital backs have no problem to represent it.
I would love to know if there is some way of fixing this because I can't think of a reason to explain this "inertia" (I do have very good lenses, it's not an aberration or contrast problem)