I like how easy it is to use, the customer support is great, and the quality of the work is spot on! They are always willing to help with any questions or concerns. There isn't anything I dislike about totalmed. They have been very helpful since we started working together. I highly recommend them! The only thing I can think of would be that they don't have as many options for choosing which font to use or what background colors to go with. If you're looking for a reliable company, this is the one to go with. We've been using them for over a year now and haven't had any issues.