I'll second/third/fourth/whatever on the button thing.
I just got an opus a couple of weeks ago, and have noticed the stiff buttons. However, I rotated the screen so that the two "side" buttons are at the top of the device, and the d-pad is on the right, and then turned the accelerometer off.
This lets me read in a sitting position with the ball of my right thumb on the d-pad, and I can easily roll my thumb a little to click the page-forward button on the d-pad.
When I'm reading in bed, I tend to read while laying on my side, so I put the opus in my right hand with my fingers curled over the top of the device; my index finger then rests on the page-forward button. In that position, with the heel of my palm already against the back of the reader, it's not a big deal to crunch my index finger a little to press the long thin button.
I am right handed, though, so ymmv. I also don't have long fingernails, and my hands aren't massive bear-hands.
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