No significant cons that aren't shared by the industry. Altus Spine engineers and sells Medical Devices which means that the facility and work areas (including desks) must remain clean and highly organized. This is a big "pro" for anyone familiar with the industry (the facility is always audit and tour-ready), but those new to pharma or medical devices may suffer initially from culture shock. Cleanliness and organization are necessary to realize Altus Spine's commitment to quality.