I looked at a lot of different items in this category, and decided on this one. You pay a LOT for automatic inflation, and that's easy enough to do yourself.Operation is very simple and gives quick results. Deflation of the cuff is managed by the unit (with a user-controlled quick deflate should you want to quit), and I've never thought is was uncomfortably tight. After a minute or so, you have a BP and pulse measurement. No hassle.The memory feature is a little hard to understand, and doesn't have a time stamp. That aside, instructions are clear and measurements seem reliable.