It's all about training, local knowledge and experience. Here is a 5300 footer that a 737 operator used several times daily for decades with no incidents or accidents. There were others in the route system almost as challenging and they all featured ice and snow in winter and frequent windshifts at any time. This one was daylight only but the others were used day and night.
The road in the foreground is used as a 3 degree "VASI" as you turn final from left base using 30 degree bank and rolling out just before the threshold.
CYCG.
http://www.ourbc.com/travel_bc/photo...ort_01_640.jpg
Runway in sight yet?
http://photos1.blogger.com/blogger/6...4/IMG_6621.jpg
Here is an easier one except for night time circling in precipitation.
CYYF
http://www.ourbc.com/travel_bc/photo...ort_01_640.jpg