In my experience, it often works / looks perfect in the head. But putting it to paper, it falls apart quickly. Imagine a bicycle, it is easy to imagine it accurately. Then draw it (or construct it), one usually struggles a lot. The step to materialize it, is where you need a lot of practice.
The worst are the the "idea" guys. They think they have already done all the work, and somebody else just needs to put it to paper. If you're that someone, expect lots of trial and error. He'll "know when he sees it", but can't give directions.