I stayed here with friends/colleagues for a medical conference this past weekend. I visit Vegas 3-4 times per year on average, and I usually now stay at the Palazzo. But I stayed here because it was the site of the conference I was attending. First the good: the room was fairly newly renovated, nice decor, good size, good bathroom. It was clean with the exception of a conspicuous red stain on the carpet. Now the problems. Upon arrival, I was given a room initially that was half-cleaned and serviced. The beds appeared made, but there was garbage as well as used towels scattered in the room and bathroom. That was a first for me. Contacted the front desk, and I had to go down, stand in line, and have them re-check me into a different room. A true luxury hotel, which this is not, would have sent someone to move me to a new room to avoid the trek back to the front desk and subsequent second wait. They did give me a $100 food and bev credit for my trouble, which was a good touch. The new room I was moved to was fine. The bed was a little soft for my tastes, but the big problem was the worst pillows ever in a hotel bed. Really soft, flat down pillows. Two of them stacked did not help. Two others at the conference with me agreed that this was the case in their rooms as well. After one sleepless night, I called to request a firmer foam pillow. It took multiple calls and a one hour wait until someone delivered one to me. Fireworks testing and subsequently the real deal starting at 5:40 am one morning right in front of the hotel for the LV marathon was a little inconsiderate. I don't expect the highest level of accomodations or service in Vegas, due to the nature of the Vegas tourism business, but there are some standards, and in the four star category, I would rate Mandalay the lowest I've encountered. The Palazzo and the Venetian are approximately the same price or just a little more, and both are far superior to this. Bellagio and Wynn are of course superior to this hotel, but more expensive. In the same price range or less than Mandalay, but better than Mandalay are Caesar's, Mirage, Treasure Island.