About 3 weeks into my ownership, and I love the MDX so far. It is probably the most comfortable drive of any vehicle I have owned, including luxury sedans. I narrowed my choices to the MDX, Q7 and XC90 and the MDX won without too much thought. And the value is outstanding for what you are getting.
The technology package is a must! Believe it or not, the voice-controlled navigation system actually works pretty well, with no training required. The bluetooth phone integration worked easily, with good quality sound.
The rear camera needs to have a guide (like the Q7) or at least a back up warning. You cannot tell how close you are to anything with the camera, so it has limited value.