It's easy for my patients as they can take their own pictures of x-rays etc., then I just scan them in! The software is great at organizing all your files into folders - very organized!! Sometimes it takes time before you get used too how things work but once u figure out what works best with ENPP everything runs smoothly again. Nothing really i dislike about this program so far. ! My office has been using ENpp since we started our practice over 20 years ago now & have never had an issue that was not resolved quickly by customer service/tech support team from enp's offices around world!! Highly recommended product. . . . ! We use eenpps when taking radiographs which are scanned directly onto CDR file format allowing me access anywhere anytime without having physical copies lyingaround clinic waiting room! Also being able t osend photos via email easily also helps keep.