Now that I've used mine a bit, the orientation issue is by far the most pressing. Wearing it like a normal watch looks best and presumably allows for the most accurate HR monitoring, BUT the screen is difficult to look at. I can't get the screen parallel with my eyes to read things. Of course, I can make due and accept that things are at an angle, but it's really kind of awkward. Having the screen face inward works great, but the only downsides to that are it may get scratched more and the HR monitoring won't be as accurate.