I'm a little (just a little) disappointed in VMware's tech support on this. We have Platinum Support, and I requested an email as soon as the express update was available (it was supposed to be posted Tuesday night) I never got any notification, when I got into work on Wednesday morning, I saw the update was available. I know they must have been flooded with requests, and I was able to get the update myself.
That being said, I had no problems downloading the update, and I was able to apply the update to my servers with minimal downtime. Our Tier 1 & 2 hosts are lightly loaded and I was able to find a host that had a clustered VM and a VM that was not yet in production, so I started my patching by updating that server. I was then able to VMotion VMs to that host to patch others, I got Tier's 1 & 2 updated during normal business hours with no users impacted.
Tiers 3 & 4 were a little different. That cluster is more heavily utilized and there is less headroom. I had to wait until after normal business hours to start the patching, I took all test/dev VMs down (leaving more headroom) and in all only had to take two production systems down for a total of about 15 minutes.
All-in-all, I'd say the process went very well. I was hoping that there wouldn't be a requirement to shutdown VMs to apply the patch, but even so, having two VMs down for 15 minutes to update 14 hosts with almost 100 VMs is not too bad.