I have an in-ear mic, which does wonders for reducing surrounding noises and also for letting me use a phone normally, but my main issue is with the software itself; I've had issues with it since implantation and they've always been pooh-poohed by audiologists at Hopkins, Tokyo University, and Toranomon. The biggest problem is that it seems to operate on some kind of averaging system -- when there's a noise that's louder than the recent average, everything just cuts out for a few seconds. This is especially noticeable in the morning, where I've just woken up and am trying to get to work, but there are cars and trains etc. making noise and making my hearing cut in and out constantly, which not only drives me up the wall but gives me a terrible headache.
On my hearing aid it's a "feature" that can be turned off. Too bad you're stuck with it.
On the other hand, my cochlear implant (right side), has a directional microphone that's actually incredibly useful in noisy situations. Combined with the directional mic on the hearing aid, I can actually hear almost as well as a normal person in a crowded bar, after 20+ years of avoiding them because of how impossible they were to cope with.
I strongly recommend it if you can get it - the Nucleus Freedom 6. I'm saving my pennies up to get a second one.