The ability to use this with my other softwares is very helpful in keeping all of them up-to date at once as I am always looking over things from both sides! It's easy enough that even without much experience you can figure it out quickly if something isn't working correctly or needs updating/fixing etc.. We have been using openDentist since we first started our business about 2 years ago now so there are some quirks here &there but nothing majorly annoying either way (aside maybe when your patient doesn’t update their info). If anything they do respond pretty quick tho sometimes its not clear what exactly was updated - which could be frustrating because then i don't know whats changed until later down time :/. Still overall no complaints really though just minor annoyances like mentioned above haha!