Overall, a good meal.  Food was quite good and menu was well varied in options and choices.  Waiter service was hit or miss.  Hostess stand service was friendly, but needed some improvement.  Design of restaurant on 51st floor was a missed opportunity.  Value about average.  See details below.\n\nHostess Stand - 2.5/5:  Had 6:45pm reservation, arrived at 6:40pm.  Table was not ready, invited to sit at the bar and order a drink (where we ordered a bottle of wine.)  Table was not ready until 7:20pm.  Should have been offered a cocktail for table being ready 35 minutes after reservation, but was not.\n\nService at table - 2.5/5:  Main waiter was somewhat hard to find and a bit aloof (the restaurant is fairly poorly designed which contributed to this, more on that later), asked to see regular menu and price fix menu, was told that price fixe no longer available (which I do not believe to be the case).  One item ordered was never delivered (and did not show up on the bill - so perhaps a lack of attention here). Food servers and busboys were quite good, somewhat made up for main waiter issues.\n\nFood - 4/5:  Quality of food was quite good.  Bread service with oil, parmagianno and pepper flake was good, caesar salads were good, fresh, properly prepared/dressed, arancini were good, ordered the short rib ravioli, quite good, although a little light on the portion, also ordered sunday gravy pasta, excellent, high quality, generous portion, death by potatoes ordered but never served.  Wine list was extensive with some reasonable options.\n\nDesign/Ambience - 2/5:  Nice interiors, but many fatal flaws.  Did not take advantage of location on the 51st floor of Palm's Fantasy tower, perimeter banquettes face towards the interior, not the view outside, interior tables do not get good view due to being blocked by banquettes.  Sat at banquette side by side with wife (which was ok, but did not allow us to easily face each other while talking) and we looked at interior/bar, no view outside.  Also, they put flat screens on windows looking outside - very odd decision, distracts/blocks view.  Bar has best view as it is raised, but is most distant from view.  Missed opportunity by designers and owner - this restaurant could be on the first floor of the hotel and it would not miss the 51st floor location.  Kitchen is far down a hall - leads to delayed service and likely exhausted wait staff.  Music too loud for conversation.  Very mixed crowd - familiies, couples, military, clubbers with very little clothing, party groups, etc...\n\nPrice - Prices were about right based on 'high-end' status of restaurant.  Wine list has some good options, many items quite expensive.  Noted several people bring own wine (odd for this type of restaurant) - not sure of corkage fees.  Liked the menu structure - could eat a multi-course meal, or more tasting style - many options here.\n\nOverall Value - 3/5:  Based on high-end status - would rank about average here.  If this were a neighborhood or casino restaurant not on the 51st floor of a hotel tower, with a slightly lower price point and the same food, value would rank a 4/5.