I have medium-sized hands and the ergonomics are very good indeed for a knife with a handle that size. The choil is also "just right" being neither too big nor too shallow.
I prefer the blade edge to extend right into the choil to make sharpening simpler, but with a choil this small it couldn't be done -- would cut your index finger.
Great profile, great sheath. There's no one thing that's remarkable about it, but several things that are right have been combined in one product.
Bear