It is rare to me to be able to buy a product with such a large number of reviews and such a high rating. We decided to go for this one based on that information and haven't been disappointed.The reception is crystal clear. Even with surrounding noise, the headset recognizes the voice tags for voice activated dialing. People on the end can hear me clearly and usually are unaware I am on a headset. Syncing the phone to the headset the first time took all of 5 minutes (including reading the instructions). Now, I just activate the phone bluetooth, turn on the headset and I'm already in business. I easily switched the headset over to my left ear. My wife uses hers on the right. It sits firmly and comfortable on my ear and I can talk for an hour and not even realize the headset is on.My only complaint is that the battery life is not terribly long, but that seems to be a limitation of the entire blue tooth headset industry, not just this product. I plan accordlingly and its not usually an issue.As for the buttons, they have not been a problem with me. It took a couple of days of using it to really memorize what buttons did what, but I don't have any problem using any of the buttons, including the power button. I fold the headset up and carry it in my pocket without difficulty or damage. It also does not look big or feel big to me.In short, this device was every bit as good as advertised and after six weeks of use, I highly recommend it to anyone looking for one.11/06/06 update: I am a frequent Skype user and my wired headset broke the other day. I was searching for a new one (I wanted to go wireless) when I finally realized that my computer was bluetooth. Perhaps it would work to use my bluetooth headset with Skype? I paired my Plantronics headset with my computer, shut down Skype, started it back up and was talking on Skype with my headset!! Now I am able to walk around the house talking on my computer just like I can with my cell phone. And the lack of wires has made talking during gaming so much easier. I'm a big time believer in this headset.