monoprice uses uc logic as their digitizer, which is as good and depending on preference better than wacom intuos pro line for a fraction of the price (do you want/use pen tilt, which is almost always no). however there are issues that come into play when drivers are concerned, and that is some people have a clean, nothing is wrong and it works experience, some people have a nightmare getting it to work.
if you have used a computer with win 95 or win 98 its likely you can solve the issues without contacting them about it at all... but just know windows tablet drivers and the uc logic ones conflict all the time and for some reason i can't turn windows internal off all the way for some reason.
now, the question you should be asking, is this tablet worth the price?
its a large drawing area tablet, and not everyone finds the large space comfortable as there is a fairly large disconnect between what you see on the monitor and what you do with your hand. i personally can not draw on a tablet, however photo work and painting, its a godsend, if its up to me, i would take the medium (huion 610pro or the smaller monoprice) over this, but im also in the market for a penable display because the disconnect isnt really there when you draw on the monitors themselves.
well... the long and short is, wacom small is a piece of crap that is to small by damn near everyone's definition, and is over priced to boot. this will serve you well if you look up how to deal with uc logic based tablets before even plugging it in.