Short bio: Computer Scientist, FOSS supporter (read more)
Tux Machines (TM)-specific
One of the things which has always ticked me off is making a clean fedora install, and then having hundreds of megs of patches to download the first time "yum update" is run. However, building a patched install dvd is actually pretty simple.
In FC5 the install uses yum which makes this even easier. You could do this any number of ways, but I use novi, an iso of the FC5 DVD, and local mirror of the Fedora updates from:
http://download.fedora.redhat.com/pub/fedora/linux/core/updates/5/i386, which needs to be available to your local machine.
Create the directory where you will build your patched install, any directory is fine, below is simply the example I use (FC5_year.month):