I just installed mine yesterday and I really like it. I wasn't using the stock cooler, I was using an AX-478 with a relatively quiet 80mm fan and was getting 39-40 idle up to 62-63 full load temps (2.4C @ 3.12ghz, 1.625 vcore). On a prior P4B and and Epox 4g4A+ that heatsink combo beat the stock heatsink by 2 degrees or so typically.
Now with this Zalman heatsink, I have no increase in sound and am running 37-38 idle (I think idle temps are compressed or something on P4's as it will wake up in 8 secs and measure 37C) and am running 56-57C full load for a decrease of 6C over my other combo and probably around 7-8C difference from a stock heatsink.
One other thing I have noticed is that the PWM sensor reads significantly less and all the air that the heatsink blows around the top half the motherboard has to be keeping other components cool.
Anyway I really like mine............
P.S. I am running without the fan controller for 2800 rpm's instead of 2500 rpms as max with it in-line.