Pros: Blazing fast card. Running my monitor at 1080p native resolution, running COD:WAW and L4D maxed and getting steady frames. Running the fan at 68% with EVGA's precision tool during these games will yield GPU temps of 70C (not bad at all!).
Now, for those of you who are worried about this completely covering up your SATA ports: you're in luck. You won't be able to use normal SATA cables and fish your way around the card, there isn't enough clearance. HOWEVER, if you purchase "right angle SATA cables", and plug the right angled end into the motherboard, you will have about a millimeter of clearance between the plastic of the cable and the cooling unit of the graphics card. I had 4 ports in the PCI express lane, and was worried about the SATA situation, but right angled SATA cables solved the problem!
Con: Only bad thing to say about it is the fact that it is completely massive, but in the long run totally worth it