I have the Large version of this pouch. The design overall is very feature-rich, with well-sewn seams, and a nice large hook-and-loop patch hidden under the lid of the pouch. The H&L is normally covered, but can be exposed by folding a flap down into the pouch, making it much easier to get into in a hurry. The Large pouch easily holds an ammo-pouch medical insert with plenty of room left for shears and bulkier items alongside. My only concern is with the soft plastic grid used in place of sewn webbing on the back to support the MOLLE system. It feels flimsy enough that I'm concerned that it will start to tear if the pouch gets caught, pulled, or landed on.
Samuel - July 2, 2014