Think you might have misunderstood the importance of syncing up the framerate to the refresh rate. Lets use the 144hz as an example instead of 60, which no one really cares about anyway as gamers.
144hz means that its scan rate on the monitor itself is roughly 7ms (compared to 16ms at 60hz). Now, modern GPU's can render faster than that, with the lowest I've seen so far, even in BF4 on ultra, is 3.8ms render speed. In a perfect world, that means 144hz shouldn't have any lag or tearing. However, when you start hitting 8ms draw times or even slower, the scan rate quickly becomes unsynced, leading to tearing. You won't even notice the difference in the draw times when gaming (typically) until you get a big enough hit in your FPS. The thing is though, you'll definitely have visual artifacts on your screen due to the constant shifting in draw times meaning your monitors scan is all over the place. Might be hard to notice as you accept them as the norm after years of use, yet gsync fixes that.
Frames render faster than your scan rate? Perfect world scenario, no issues. Frames render slower than your scan rate? Gsync alters the refresh rate to match the new draw rate, keeping an extremely smooth experience.