Pros:
This course plays down and across the ski area at Brian Head resort. This means that this course is all about the elevation. Nearly every hole has some kind of elevation change, including a couple holes with pretty extreme downhills.
The course was well-laid out, and did a good job of using the space. Holes played across and back up the mountain, so not every shot was a downhill bomb even though the course starts at the top of the mountain. It might have been difficult to follow without a map, but the map and scorecard available at the base of the mountain made it very easy to play the course and find each hole.
The tee signs were easy to read, with distances that seemed pretty accurate, and with enough information that it was easy to figure out where the baskets were on a couple blind holes.
The scenery on this course is simply amazing, with great views of Utah mountains on just about every hole, and beautiful old evergreen trees throughout.
Cons:
The tees were natural, and a few were uneven and sloped, making it difficult to get a good run-up without fear of twisting an ankle. There were some places on the course where the undergrowth was pretty overgrown, and made it a little too easy to lose discs even on a fairly good shot. There are some navigation issues where even with the map you might have to search a little for the next tee, the signs are nice but they don't stick up enough to see from a distance.
Other Thoughts:
I would definitely play this course again if I was anywhere near this area. The beautiful scenery combined with some truly epic holes made for a great disc golf experience.
You do have to pay to ride the lift up to the top, but the fee is pretty reasonable. There is also the alternative to hike up the mountain (I did this because I had my dog along on the trip). It is a strenuous hike up, especially if you are not used to high elevations, but if you have the time to spare, I thought it was a beautiful walk and made playing back down even more rewarding.
Even if you take the lift up, be prepared to do a lot of strenuous walking to complete this course. You'll need lots of water and good, sturdy shoes. Plan for this course to take more time and energy than just about any other 18 hole course you've played, especially because it is at such a high altitude.