We weren't sure when booking this excursion how it would go, but are really happy we did. Remember that Mauna Kea has some of the world's top observatories; this tour does NOT go to the top of Mauna Kea, but it's right at the foot of it that you get to look at the stars through a telescope.
First off, some tips: KNOW WHAT THE LUNAR PHASE WILL BE! If you want to see the moon, make sure you're booking when the moon will be visible at night. If you want to see the stars, make sure the moon is NOT FULL when you'll be going. I think people who were disappointed didn't think about natural phenomenon like moon cycles and weather.
That said, this is a TOUR. The guide will pick you up at a hotel and drive you to several popular tourist spots. If you aren't interested in a guided tour of some Hilo highlights, this may not be the right tour from you. After seeing Rainbow Falls (no, you CANNOT swim here, and no, there will NOT be a rainbow in the afternoon), you will go to the lava tube (really cool, but some steep stairs and wear shoes with good grip!). This is absolutely worth going to, and I liked that the guide had flashlights for everyone.
After a few stops, you'll drive up Saddle Road to the valley between Mauna Kea and Mauna Loa for a sandwich dinner. As the sky gets dark, you cross the road (in the van) to an open area to set up the telescope and see what is visible.
Here are some additional tips: if you don't get a chance to see something, ask the guide to let you see it! They may not be counting how many eyes get to the telescope promptly. If you want to see something specific, ask for it! If you have a question, ask it! Don't be frustrated that the guide didn't show or tell you something you didn't ask about.
That said, this is not a leisurly amble - it's a tour. You'll be on and off the tour van several times and see and hear lots of interesting things. I recommend this for anyone spending a little time Hilo side, especially early in your trip. You're likely to find out interesting tidbits about the island that you won't hear on other excursions, like snorkel or sunset tours. If you're not used to guided tours, this may feel unusual to you, but understanding that the guide is doing their best to show and tell you interesting things will help you get into the groove.
Side note: we got to the hotel early and had drinks at Hula Hula and really enjoyed it. If you're looking for a place to eat or grab a drink before the tour, there and Hilo Bay Cafe are both good - though you will need reservations for HBC.