Most of my programs I can access through the start menu easily. If I need to go any further than one click the start menu, it's a program I rarely use.
I once had three icons on my desktop. I decided that the third (cCleaner) could just as easily be used by right-clicking on the recycling bin so I got rid of it. Maybe one day I won't have This PC on the desktop, but for now it stays. Recycling Bin will always have a home on the desktop though.
The monitor on the right is actually bigger, it just has a much lower resolution than the monitor on the left.