If you're looking for a good steak place on the strip, Gordon Ramsay is definitely a top contender.
For my appetizer I had the raviolo which was superb. In fact, I had the same dish the night before at Le Cirque and, I have to say, I think Ramsay's dish topped Le Cirque. It was larger, had some bits of ham, great flavor. Fantastic start to the meal.
Three of the six people I was with had the Skirt Steak. All three were perfectly cooked, tender, and great flavor. One friend did report his was oversalted. Another friend had the beef wellington which was supposed to be what Ramsay's is known for (it's the entree on the tasting menu). He said is was great but it is quite pricey.
Unfortunately the dessert was a mixed bag. They recommend the toffee pudding dish which is NOT pudding. I generally dislike pudding so I got the carrot cake. The carrot cake was utter garbage. It was terrible. No moisture, no flavor, it was worse than what you get premade at the grocery store. That being said, two other friends got the toffee pudding and what came was actually a toffee cake type thing with some incredible ice cream. It was superb. How can one dessert be so good while another be so truly awful?
Also, the service was slow. It's a steakhouse so it's going to be a bit slow, and it's Vegas so you know service will be slow, but the dinner took 3 hours. that's ridiculous. We were just sitting waiting for an hour for dessert.