You know how mods work, right? That's basically how DLCs work, only they're made by the company itself, therefore use more advanced techniques to do stuff.
Activating all of them, then downloading and activating http://www.fallout3nexus.com/downloads/file.php?id=8416 is my recommended strategy. The refurbisher will make the "blurb" that the game gives you upon starting simply not happen, and the DLCs will fade away into the background until you encounter them in game.
Zeta adds a bit of spice to an already existing location in the DC Wasteland, and many many interior cells to explore.
The Pitt adds a new small worldspace (small horizontally, but stacked vertically), along with quests.
Point Lookout adds another small worldspace, this time accessed by boat. Lots of cool stuff there.
Operation Anchorage adds a "virtual" worldspace, where you are the lead in a computer simulation of a war. Also adds some objects that you can take home with you.
The only DLC that modifies the Wasteland in any signifigant way is Broken Steel, which lets you continue on after the main quest is over. Super-highly recommended if you don't like any of the other DLCs because the game doesn't "end" any more.
But I have to say, if you're not the "Replay" kind of guy you may be in for a change of world-view. Fallout 3 offers so much stuff, and the mods out there are so vast, that you guaranteed will not be able to do everything in one play. This is a game that could easilly take a year to play through all of the different ways to beat it, find all the quests that could be done, and ultimately get borded of.