Bought this car in February of 2005. Haven't had one problem with it since! Very reliable and very luxurious. Was coming from a 1998 Toyota Camry LE. Compared it to the Lexus RX 330. While the Lexus was nice, it couldn't fit 3 people across the third row comfortably. But my Acura can. The Bose stereo in my MDX simply superb and this car handles so nicely. The nav system is also extremely easy to use. Like the V6 and the AWD. I also like the visibility that comes with being higher off the ground. Will never buy anything other than an Acura. Unfortunately the gas mileage is around 12 MPG. I do mostly city driving but I was expecting more like 16 from a mid-size SUV with just a V6.
Back-up camera, heated seats, nav system, bluetooth, visibility, great headlights, love the fog-lights, sunroof, stereo, everything about this car is amazing!
Fit and finish could be better. Would like auto up/down on all windows, not just driver's. Slightly better gas mileage would be nice.