Bought a Cintiq Pro 24 and initially put off buying an ergo stand because of the price. Now that I've been using it for a few hours, I'm very glad I picked it up. I work at a standing desk, and while the Cintiq Pro 24 could be used entirely on a standing desk - without the ergo stand, with my tile-headed city staring at the screen - I knew it would strain my neck when using it becomes long periods. I also did some research on the Wacom Flex Arm and didn't want the extra movement that was there and doesn't look that great in my opinion. The main reason for a full 5 stars would be if the rear end was adjustable between two attachment points (fully tilted up or fully down). When the Cintiq Pro 24 is set to anti-aliasing, you can adjust the screen tilt at any time. There are rubber parts on the stand and the Cintiq Pro 24 that keep it securely in place and prevent it from slipping or anything. Combined with a bar table, the lack of full adjustment options is much less of a problem. I think the reason the box is so big is because the stand is spring loaded when you squeeze it and they don't want people to hurt themselves by sending it pre-sprung.