Did a season of charters in there a couple of years ago. Challenging is the best way to describe it. Complex approach procedures with multiple missed approach points and alternate engine out procedures that are all different depending on where you are. Throw in bad weather, strong winds and low-level severe turbulence and it gets interesting.
Following the approach from the west over the airfield into the valley, the turn over the beacon to take you back towards Axams (or break for the lead in lights for 26) gives you limited lateral terrain clearance. The valley is just about or just over 4 miles wide at its narrowest point just after you start the turn. IIRC we worked out that at 160kts (Gear down Flap15 in a 737-400) you get about 3/4mile clearance from the mountainside when you're in the valley.
Unusual view out the window when you are just below the cloud base with 30 degrees of bank and a windscreen full of cliff
ps the mountain-goats don't wave back