I used to carry one of these before I could afford better. They're easily concealable, reliable, accurate, and cheap.
The recoil is manageable. I got used to it pretty quickly. The sights are miniscule, but a dab of white paint on the front sight took care of that.
Honestly, I'd recommend one to anyone who is tight on cash and needs a pistol now. Otherwise, it would be a better idea to save for one of the $200 CZ-82 pistols that are on the market now.
makarov.com does carry a number of accessories for them. As mxl wrote, new springs are mandatory, as are new grips if one is left-handed.
Edit: So it is, Hoffy. Thanks!