First, select the application that you want to use now. All windows from that application, across all monitors are now brought to the front. Then, you switch to the window you want to use. Most of these windows have no clear way of communicating to the user that it is active, so you have to look at each of the available windows to see if it's active or not.
Let's say that I have a monitor with three terminal windows on. I don't want to close them or minimize them, as I will need them again shortly. Now, I want to open a browser window above those three terminal windows, so I open it. Now, I want to move a single one of those terminal windows on top of the browser window, while keeping the other two below the browser window. Nope, not possible. On Mac, I have to use the mouse to pick the right terminal window to achieve this.