I recently visited the restaurant with my business clients and while my experience was 5 star, theirs was 3 so I am giving this restaurant a 4 star rating. My dishes were all great (personal favorite is the dessert: Panna cotta which was out of this world) but they ordered 2 pasta dishes and their pastas were all overcooked and displeased about it. I agree that if you go to a higher-end Italian restaurant you expect the pasta to be done right. The view of the fountains of the Bellagio was spectacular however. Overall, I recommend it.