Pros: As I've never had any problems with Thermaltake products, I wasn't surprised that I had none with this purchase. I had ran out of fans in my shop which prompted me to order this fan assembly from newegg. Installation of this fan/heatsink was quick and easy.
Summary: This was the cheapest heatsink I could find for my AM2 socket CPU. I've purchased Thermaltake heatsinks in the past and have had zero problems with them so far. Can't really comment on the noise, as I have multiple fans in my computer making noise now.
Pros: I had no trouble installing this. It was a snap, and came with pre-applied thermal grease. However, there were no detailed installation instructions supplied with the heatsink. The good news is that there are detailed step-by-step, illustrated instructions available on Thermaltake's website.