Wow, I'm surprised at the wide range of experiences people have had at this place.  I went with friends last year, and until this year I thought it was the best steak I'd ever had.  It was cooked to perfection and had a really nice pepper rub that must have left a crust an inch thick.  If you're not into peppery crusts, then you might find the cow at this place not to your liking.  Anyway, the steak was great, the desserts were yummy, the side dishes were  average (as all sides seem to be in Vegas), the ambiance was not bad, and I can't remember what I had to drink during the meal.  As for the service, we had to wait a bit past our reserved time but the waitstaff performed in a prompt and satisfactory manner.  (That sounds kinda dirty, doesn't it?)  The restaurant was definitely crowded and loud, though.  Can't win 'em all, but I sure can deduct a star here and there...!