My SO fried the wireless networking on my DIR-655, which worked fine with Vonage.  I bought this one and hooked it up, nothing but problems since.
I upgraded the firmware to 2.02NA (per recommendations seen here), set the UDP port forwarding on 5004-5012, 5060-5061, and 10000-20000.  
The inbound was working ok...people would call and I could hear them, but they couldn't hear me.  I just looked at it AGAIN and noticed on QoS that the Auto pipe setting was displaying a throughput of 044kbps (ie, dial-up speed) even though I have a broadband Roadrunner connection.  So I disable the Auto setting and set it up for 512kbps, which is what it should be upstream at a minimum.  I called a friend and had him call me back, seems to be working.  But...it seemed like it was better a couple times before, so we'll have to wait and see.  But for those of you who are having issues, try that out.
The other issue I had was that although I had a Wireless N laptop adapter and it was reading speeds of 300Mbps, it couldn't keep the connection up for more than 30 seconds at a time.  I would've been in heaven if it could.  Instead, what I had to do was use my Wireless-G adapter, which connects rock solid almost all the time, but can only carry 54Mbps across the network.  *sigh*  
Anyone have comments on why that would be?  The router is in the kitchen and the lappy is in the living room, approximately 30-50 ft away.  There is a brick fireplace in the wall between them that I thought was potentially causing issues, but wouldn't my G adapter have the same kind of problems?