Pay is simply miserable. There is a total lack of merit-based culture. If you work on a H1B, get ready to be subject to slavery for the next 10 years since they don't sponsor EB2 applications under any circumstance, it doesn't matter how many time you have preserved or extended business for them.
Extremely poor management, there seems to be a huge disconnect between what happens in the field to the perception from upper management, therefore, always missing the point in strategic decisions.
The Services team has shifted from being a strategic - elite - $250/hr or more very select team to a body shop that sells you at whatever price to keep the clients happy and pays you no respect. From being somewhere close to McKinsey it now looks more like a body shop (ie. TCS, Polaris, Infosys)