Well off the beaten path and well worth it to get better food and avoid the tourists. This is a great Italian option located way out in Henderson.
As with almost anyplace in Vegas, the service excels. I was very impressed with the hot breadsticks served with olive oil and balsamic vinegar as opposed to the salty garlic spread at a certain chain. Our appetizer of lamb chops on a hot stone was amazing -- the lamb was cooked to perfection and without the grease that sometimes accompanies lamb. My veal Marsala was also excellent. Unlike many other Italian places, Ventano serves the pasta to the side of the entree as opposed to beneath it. However, they still provide plenty of the sauce to accompany the pasta. In fact, the fettucine with Marsala sauce could be a meal itself.
I cannot recommend this place enough if you're willing to make a bit of a drive.