Your realtek soundcard is for playback of different formats of digital audio a typical computer will deal with. 8 bit windows sounds, mp3s, CDs, various formats of web video. It does a good job for those. An audio/midi interface is for delivering high quality sound, both in and out under strict timing. Many times, video and multi-format sounds will mess them up. It is like taking a 60's muscle car to your kid's school through multiple school zones every frigging day. For home studios and simplicity, RME is probably the best interface. Good hardware, great drivers. But expensive. Farther down the list is Focusrite, who make everything from $100+ on up interfaces, and most people have no problems. Roland/Cakewalk interfaces are popular w/ SONAR users for obvious reasons, tho that may be changing. If I was picking up a cheap interface today I'd probably go w/ Focusrite just from word of mouth here and other places. If I was picking a more expensive interface I'd probably go w/ their Forte unit ($500), since I don't have need for too many inputs.
Also let us know your budget. You can go as low as $100 and get a decent 2 X 2 interface. More money doesn't get you better drivers, usually, or converters, but more of them. A 2 X 4 is nice to have, if you route an output to hardware and still monitor. Also give an idea of how you make music - do you do singer/songwriter stuff, need to record a band, or mainly doing midi work. That will make a difference in a interface, too.
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