Another vote for the ALT (although I believe its renamed "Coda" now). I've got a 158 (6'0"/180lb) and love it in all conditions. The topsheet is all beauty, the base is all business. The Element (Koa topsheet) feels slightly stiffer to me. As other have said, Arbor doesn't make a bad board, but ask your doctor which Arbor is right for you.