I simply use temp. spray adhesive, followed by covering the top (and sides with a bit of the bottom if stack cutting non-intricate things) with clear packing tape. I use LED lighting and the glare is nothing to really worry about. It is important not to put the tape on the bottom as I learned the hard way. On time-intensive patterns you will start to get residue on the table by the blade, as well as little bits of tape, and these can cause your work to "snag". I just give the tape a bit of snugging and really don't have issues with dust getting under there. When done, 10-15 seconds under a heat gun at close range and the pattern is off.
I noticed others commenting on what they do with pilot hole tearout. Since it is generally in the waste area with a bit of room to spare, I just run a little hand planer over the back of the piece before cutting.