Working on Internet Explorer extensions in C++ & COM, I had to relearn or rediscover how to do several totally basic and important things. To save myself and possibly others trouble in the future, here's some pertinent links and tips.
First you must choose your IE extensibility point. Here's a very short list of the few I've used:
Once you've created your COM object that implements IObjectWithSite and whatever other interfaces your extensibility point requires as described in the above links you'll see your SetSite method get called by IE. You might want to know how to get the top level browser object from the IUnknown site object passed in via that method.
After that you may also want to listen for some events from the browser. To do this you'll need to:
If you want to check if an IHTMLElement is not visible on screen due how the page is scrolled, try comparing the Body or Document Element's client height and width, which appears to be the dimensions of the visible document area, to the element's bounding client rect which appears to be its position relative to the upper left corner of the visible document area. I've found this to be working for me so far, but I'm not positive that frames, iframes, zooming, editable document areas, etc won't mess this up.
Be sure to use pointers you get from the IWebBrowser/IHTMLDocument/etc. only on the thread on which you obtained the pointer or correctly marshal the pointers to other threads to avoid weird crashes and hangs.
Obtaining the HTML document of a subframe is slightly more complicated then you might hope. On the other hand this might be resolved by the new to IE8 method IHTMLFrameElement3::get_contentDocument
Check out Eric's IE blog post on IE extensibility which has some great links on this topic as well.