Medium amount of assembly expertise required, but it was fairly simple and most importantly, the drawers work very well and the hardware fits nicely.  Be aware that if you get the matching changing tray to go on top, there will be virtually no room left for anything on top. I had thought I could fit a small lamp to the side or some changing items, but there are only a few inches to either side of the tray while it's there. But the dresser itself is very nice and seems like it will last us a long time. It also comes with safety anchors if you want to anchor it to the wall.