The Pen, which is black like the tablet, is also much improved. I liked the old pen really well, but the new one is just so much better. The grip is rubberized and it is so much more comfortable than before. It really feels like you are holding a natural pen. The enhanced sensitivity really gives you the feel of control. The pen stand is also outstanding in its design and use ability.
The tablet itself is a big improvement. The surface has a better feel to it. It is almost like you are drawing on paper or canvas. The ergonomic design is more comfortable than drawing on a paper tablet, but without losing feel.
My only real complaints beyond the closely spaced ExpressKeys are that the black styling is a finger print magnet and a dust collector. It is to a lesser degree the same with the pen.
That said, if you are considering a graphics pen tablet, and are still on the fence, then let me give you a little push. For the price, the Wacom Intuos4 Medium is really a good deal. One thing to keep in mind that from the stand point of size, the medium is probably the largest that most people will need. It takes up a good bit of desk space, but is balanced with the size of the new monitors.
I had my last one for over four years and it has served me well. Once you get accustomed to using the pen tool, you will wonder how you could have survived without it. It is for that reason that I very highly recommend the Wacom Intuos4 Medium Tablet.