I’ve also done 23AndMe. I agree that for family tree, Ancestry is far superior. And for genetically linked issues, I found https://promethease.com/ to be far more useful than the medical reports on 23AndMe . Promethease can read the raw data file from 23AndMe, Ancestry, FamilyTree, and others. However, if your family is already on 23AndMe, then that’s the one to choose.
I personally found the 23AndMe reports interesting, which was my main reason for doing the test. Reviewing the site today, I see that the ancestry reports have been much improved since I last visted, particularly with the options to choose a sliding scale varying from 90% conservative to 90% speculative. With the most conservative estimates, I get 71% European composed mostly of “broadly northwestern European” and “broadly European.” With the most speculative estimates, I get 78% European composed mostly of British/Irish and French/German. The specific percentages match my rough expectations, aside from lack of Native American. They still don’t have many Native American samples to test against, so Native American information is unlikely to be accurate.
While 23AndMe doesn’t have the community size or activity of Ancestry, they still have a large sample of users. It shows over 1000 DNA relatives for me, but only ~20 with strength 3rd cousin or higher. By reviewing shared ancestry, which DNA segments match, information users provide, and messaging other site members; you can often figure out by which path the other user was related. This includes challenging and non-obvious situations for which there are not traditional records, such as adoptions and name changes to avoid persecution.
The health and traits are easier for the layperson to read and digest than Promethease and can still provide interesting information. For example, my report says increased risk of familial hypercholesterolemia due to R3527Q variant in the APOB gene. I already knew this was present, so I can confirm accuracy.
They also provide many interesting DNA characteristics that are unrelated to diseases, such as what flavor of ice cream you are more likely to prefer or mosquito bite frequency. You can also review frequency of characteristics among DNA relatives. For examples, my DNA relatives show a much higher frequency than average of being life guards and having red hair.
Overall I found the benefits to be worth the costs for me (both financial and risk of DNA being in the system).