Bought it 8 months ago. Great family hauler. Feels and looks solid. Very comfortable inside. Very good handling and acceleration. Excellent crash test results by the IIHS. NHTSA,although they have not crashed it head on, also gave it 5 stars for side impact crashing and 4 stars for rollover(most SUVs are either 3 or 2). It comes loaded so the dealers cannot play many games with options. We looked at the RX 300 but the MDX won hands down in terms of pricing and features.
Faults are very few. Road noise pronounced at high speeds. Seats could be a little softer. Rear mudguards should be standard.