Overall, I was pleasantly surprised. I had read many posts on this site and SDN which slammed downstate and I took that to heart. In the end, they were all wrong predispositions to have. The students were happy, the staff was very helpful (when the admissions director saw me run into the admissions office, he was gracious enough to stop what he was doing to walk me to my interview site across the street at Kings County) and the facilities really weren't as bad as they were made out to be.
I guess the only drawback is the neighborhood, but in all honesty I doubt that that'd be a deciding factor in attending downstate. Heck, columbia med is on 168th street, an area comparable to downstate's location, but you don't see people camplaining about attending columbia because of it.