The tablet itself works beautifully. Because it's lightweight and has a large touch area, using it feels almost exactly like holding a pen and paper. The buttons on the side have symbols on them showing what they use, but I can't see them without turning on a desk lamp. After a day or two of use I stopped having to check what I was hitting, so that's no issue at all.
The version I received has a battery powered pen, and I'm genuinely not sure if it drains while not in use but its easy enough to just remove when done using. The pen stand also comes with four extra tips, which is nice since the item description implies no spares.
If you're more confident in your computer's abilities, that should be all you need to know. However, my PC does like to argue with the software so I'll detail that here:
Most dramatically, if I ever forget to close the 'TabletDriver' program before unplugging the tablet, the computer starts acting like I'm pushing every key and swinging the mouse madly, which overloads the computer to the point where I can't fight it well enough to look for a fix - other than shutting down or just leaving the tablet plugged in all the time (which I do).
Also, occasionally, using both mouse and tablet is a bit finicky. If you click somewhere then try to draw with the pen it will start and end about a half-inch above where you press - meaning your lines start and end with a 1/2" vertical streak. Clicking the mouse once then trying again fixes that.
If the device came with no drivers at all I may have given it five stars, but the fact that my personal PC needs to be persuaded to play well with it detracts a bit.