Even the cousin matches seem to be based on the surnames listed in your tree with no attempt at comparing the people between trees to see if there is actually anyone in common! I have managed to find a few actual matches in the cousin match list, no thanks to their matching service, but more to the fact that I have been researching my tree for many years and am fortunate to know someone who is very competent at DNA and family tree research to help me weed out the rubbish from the genuine matches.
For our evaluations, we assembled a group of testers willing to spit into a tube on camera. We chose four individuals of varying backgrounds. Two had previously taken one or more DNA ancestry tests, and two had not. Two had fairly well-documented family histories to compare against, one was adopted, and one had information about one side of the family, but not the other. All of us took DNA tests from AncestryDNA, 23andMe, National Geographic and Family Tree DNA. One tester also took each of the five additional tests we reviewed. After collecting spit and cheek cells, we mailed all of the tests at the same time and waited for results, noting all communications from the company in the meantime and how long it took each service to notify us that results were ready to view. We collected data based on testers’ impressions of their results, each service’s features and extras, how easy it was to use and navigate the service’s website, along with several other factors. We added this testing data to rigorous research and information gleaned from conversations with representatives from Ancestry, 23andMe, MyHeritageDNA, LivingDNA, Humancode (now owned by Helix) and 24genetics. 
Of course, most DNA used by law enforcement in the U.S. does not come from direct-to-consumer DNA tests. The federal government and many states collect DNA samples from suspects of violent crimes after arrest or due to probable cause. These samples are added to the Combined DNA Index System, or CODIS, which is a national database for forensic information.
I sadly have to agree as after the results appeared in my Ancestry account I was very disappointed to see that they failed to disclose any sign of my Italian heritage at all and even clicking through the Engilsh ethnic breakdown showed absolutely NO connection to any place whatsoever so apparently I am an alien who was dropped here from outer space so I could not recommend this as a service that produces a valid ethnic breakdown at all. Their results graph and click through breakdown are extremely limited, especially after comparing them with other services so from the ethnicity perspective, think they are bordering on false advertising!!
The most common type of DNA test is an autosomal test – ie the ones you see advertised all over the place. These tests give you both ethnicity results and matches – not just cousins but whoever you’re related to who have also tested with the same company. Ethnicity results are a result of both parents and cannot be separated with a single autosomal test. Ancestry and FTDNA are great picks and both will suit you well. The main difference in my opinion is that Ancestry has a much larger customer database, which means you’ll get more matches. And yes,… Read more »
In fairness to 23andME, it leaves it up to the customer to unlock the more serious results – or not. When I unlock mine, I discover that, while I’m not genetically predisposed to such things as the BRAC1 or BRAC2 variant, Parkinson’s or MS, I have one of the variants for late-onset (mid-80s) Alzheimer’s. However, I don’t have any other markers for Alzheimer’s or family history or conditions associated with it or anything else listed in the rather lengthy disclaimer, which also stresses that it’s not a diagnostic result and to seek further advice from your GP if you are concerned.
It’s easy to do these tests; it’s usually just a case of collecting your own samples at home, filling in short, basic questionnaires, posting the packages, and then logging on to interactive websites for confidential results (all the kits I tested used outside laboratories). With an array of price ranges and options, from one-off DNA-blitzes to targeting specific health areas, to fitness/wellness tracking, it’s no surprise that these kits are proving to be very big business and the field is primed to get even bigger, with a global market estimated to be worth around £7.7bn by 2022.