I really liked downstate. The comments on this site are very misleading. I may be attracted to downstate because i'm from brooklyn and used to the urban atmosphere but really did you ppl expect harvard or vassar architecture in the heart of a depressed brooklyn neighborhood? Its not glamourous but its the realities of most hospital conditions in this country- functional and well kept but not the pretties thing in the world. Labs are fine- the smell was fine and i actually liked the set up. Also the student body seemed to be really awesome. If you aren't uptight and want to work with underserved populations this is the school for you. If you want to become a doctor for reasons other than prestige and money, then this is also the place for you.