The extension installs easily, and is relatively easy to configure. I'm looking forward to the additional features in the next release (i.e. customizing the editor buttons).
I really like the auto-approve function and email notifications. However, I would also like to see comments auto-publish without the commentator needing to refresh the page.
Still, as free extensions go, the developer has done a great job with this one. With a few minor tweaks, it could rise to the top in this lacking area of Joomla extensions.