The UI seemed to have a lot of modes. I mean quite literally they seem hard to learn.
Come to think of it, Blender has a very nonintuitive UI as well. Holy moly, yikes.
I like to look at Solidworks as an example of how to make a 3D user interface rather approachable. It has simple objects organized cleanly.
Granted Solidworks is mechanical and ZBrush is organic, but I can't fathom that organic modeling would require a more complicated UI than mechanical design...