They come up with the features and the implementation is an unimportant detail in realizing their designs.
In reality implementation details frequently drive design and in most cases they are at least highly intertwined.
I can’t count how many products and features I’ve built that ended working completely differently than the initial design, or how many times I was able to simplify a workflow after spending a days thinking about the implementation details.
You can kinda do something similar by spending days or weeks going back and forth with an LLM, but at least in my experience that doesn’t really save much time and I don’t understand the problem quite as well by the end of it.