Katie,
I could amuse you for a long time with tales about using our Garmin in Italy, but I'll resist the temptation. Here is a distillation of the wisdom experience has taught us:
Success with a gps is a product of the machine itself and the user's familiarity with it. So, yes, get your own and use it a lot, even when you don't need to, before your trip.
Have a good map as back-up.
Partly due to the vagaries of Italian signage, we found that using a map and taking main highways was best until we got close to our destination. Then the gps was great for getting us into and out of places. Also for finding gas stations, markets, etc.
I can't comment on any comparison between brands. Ours was a gift. If I were buying my own, I'd do some consumer research. I know Garmin has many models and suspect TomTom does, too. I imagine some models are superior to others and that someone has scoped out all of the information you need to make an informed choice.
One bit of knowledge not exactly related to the functioning of a gps is that street and road names in the UK may change very often; i.e., same street, new name after a few blocks. That can be very confusing, with or without modern technology. If the gps says something like, "turn onto X street, continue on Y street;" that's probably the situation. Just a quick name change.