The 'Summary Stats' determines whether a visitor has been to your website before by using a cookie. So if a user has cookies disabled we have no way of knowing if they are unique or not, and will by default be considered unique."
I guess it's not very reliable because most people now disable cookies.
Also, the IP thing doesn't work very well either as a lot of people have 'dynamic web proxy' IP's, they get a different number each time they visit a site.
I guess the answer is that there really is no one sure way to keep track.