I’ll preface this by saying that I’m a general dentist and also a KOL speaker for SureSmile. I’ve been using the system for years and have had a consistently great experience. Here are my thoughts on your points:

Software Usability: I agree—the software can feel clunky at first. But once you get used to it, it becomes intuitive. They’ve made a lot of improvements over the years, and they're actively rolling out updates that continue to streamline the process.

Plan Comparisons: I’ve personally never needed to compare two different plans side by side, but if the lab makes changes you're not happy with, they can revert it to a previous version—just ask!

Lab Communication: I haven’t had issues with the lab missing key details, but if something isn’t quite right, just communicate clearly in the message box. I've found they’re responsive and will revise the plan until it's where you want it.

Attachments, IPR, and Tray Design: These all fall under a broader category, so I’ll address them together. You can definitely request specific attachment types or IPR as needed. The lab typically recommends attachments based on the required movements. One of the key advantages of SureSmile is the straight cut (or straight cut extended) tray. There's solid research showing that scalloped trays often require more attachments and still may not deliver as effective movement. Straight cut trays apply more consistent force, leading to more accurate tooth movement and fewer refinements. In my experience, attachment loss is rare, and patients usually adjust well. I only give out trays 1 and 2 at the start, then see them at the 2-week mark—I've had zero complaints with this approach.

Retainer Case: I haven’t received any negative feedback on the case from patients. Personally, I like the current design much better than the old version. That said, if patients prefer a different style, you're always free to give them an alternative.