Ok, let's start with this...I am not from the Western PA area. So, my palate is NOT like the home crowd. I lived several years in New England, Texas, and Asia. So, my tastes lean toward original, authentic and bold flavors.
Noticed from a lot of reviews that the tastes of the food was the biggest complaint. If, you enjoy most food from this area, you're probably not going to like Ciao. The couple next to us lived in Italy and said that this is the first place since moving to the Pittsburgh area that they found almost "authentic." Fresh ingredients, mouth-watering flavors. Forget it being Italian food, it is the best FOOD I have had since moving to Pittsburgh in 2008....BTW, as for Mexican food...don't even try to mention a place in this side of the state...it doesn't exist.
So, basically, I'm saying...if you want as close to authentic as possible while being in Pittsburgh, this may be your place, but, if you like bocca di beppo or some other traditional "Pittsburgh" hot spot...this food may come as a shock to your pallet.