Most of the time it feels like I'm reading this manga with one eye open: part of me doesn't want to know what's going to happen next, but part of me does. Like jadetine said, it's almost embarassing for other people to find out you're reading it because of how absurd it is. The manga enjoys torturing poor Akira in every way possible, having a guy act out all the cliches that have ever existed in shoujo manga: the awkward first date, hijinks in a love hotel, being carried to the the infirmary, getting the romantic lead role in the school play, you name it. And yet, it's a fun title that will definitely keep you reading, although I'm dreading the ending.
Akira was such a failure as a man that I'd be sad if he doesn't get his opportunity to reedeem himself and they don't switch back in the end. Also, as a guy, Momoi is the epitome of a male neanderthal-type (stupid, violent, jealous, possessive, insensitive, sleeps with any girl willing, you name it). Sure, he's nice to Shiina, but that's about it. Does the world really need another idiot like this? As a girl, she was at least able to keep something of a lid on some of those urges. But as other reviewers have said, the two of them switiching back seems totally unlikely at this point. Rather, the manga would prefer that Akira end up with his male best friend and Momoi end up with her female best friend. I suppose if it ends that way it might be edgy and different, but both of them in their switched bodies are such gender stereotypes that I can't help but feel like instead of breaking gender conventions, this type of ending would be reinforcing them (like it's not OK for a girl to be agressive, she should be a guy instead, and it's not OK for a guy to be gentle, he should be a girl instead).
So I'm preparing myself to be totally disappointed by the ending, but I'll keep reading it anyway because it's pretty fun anyway.