If you want to learn Native American spirituality and culture then this deck has much to offer. If you want an easily readable Rider-Waite based deck then you might consider something else.
The artwork is beautiful, evocative and detailed and appears to be a very well researched deck in terms of Native American way of life and culture. Through the system of the Tarot you will learn how it applies to the Indian ways and beliefs.
This deck is based on the Rider-Waite structure but the imagery and symbolism is completely different to the Rider-Waite portrayal. This sounds stupid on my part because it is a Native American based deck but when I bought it I expected to see the Rider-Waite symbolism designed/integrated in Native American style.
For example, the 'Three of Chalices' is named 'Crow' and features a slightly fierce Crow in fligh. The LWB says "The divine trickster, responsible for creation....." This is very different to the usual Rider-Waite depiction and meaning of the 'Three of Cups'.
Some major Arcana card are slightly familiar with the 'Wheel of Fortune' named Medicine Wheel but quotes "The twelve sectors of the wheel, the seven arrows, the seven stars, and the guardians of the four directions; The world is a sacred geometric figure and the number is its representation".
If you have knowledge of Native American beliefs or are interested in learning about them, then this deck will bring a wealth of knowledge and information in a very enjoyable format. If you are looking for an easily readable, traditional, Rider-Waite based deck then you will find this deck extremely difficult to understand and use without study.
I gave it 3 stars purely because it wasn't what I wanted in a Tarot.