Joining in here... we had an electrician add a bunch of downlights to our ceiling. They use a small handsaw to cut a few holes to help them run the wires. For a job like this, the holes can be small enough that you could just put blank wallplates on them. Or, any good professional painter can take the drywall cut-outs, tape them back in place, and cover it over such that you'd never know.

For what it's worth, all the ceilings in our house are white. Going back to repaint later is relatively painless. Just make sure that everything that might get dripped on is covered.