Looks wise of course it's not as nice as as regular, since it's specific purpose requires it to be more bulky for bigger battery and easy button presses so fine with that. Not a fan of the orange accent, like still not with the red cellular accent, but is what it is. For those of us with series 7 in titanium, already use to the expensive price so nothing unexpected there. The better battery life, and additional button, and bigger toggles for us active folks, is exactly what I had hoped for.
The big issue I see is that it only comes in 49mm. Apple is known for offering smaller sizes since half the world are woman who most often have smaller wrists as well as all us guys with smaller wrists. So for those demographics, we don't choose small watches over large for aesthetic choice like the average man can, but rather because the larger sizes literally would hang over the size. So where the previous large would start to overhang on most in that demographic, the 49mm would be presumably drastically so. This would seem to be the biggest physical issue since one can save up, or deal with aesthetics, but can't change their wrist size.
All I can assume or hope is that it's the same height but that it's just the width that is much larger but don't see the exact sizing yes or most importantly a comparison between the two.