I hate to use this word, but it's honestly a tad dated. Hopkins is brilliant, but the strangely wooden, overly theatrical and melodramatic nature of the film (from the acting right down to the sound design) doesn't feel quite as fresh and dangerous today as it did in '91. Still, a classic.
Definitely has the most misogynistic characters that I've seen in terms of how blatant they are with it. One of the things I noticed about the visual design of the film is that for pretty much the first and second act, the large majority of the shots are close. However, when we get into the third act of the film, the shots become wider and less claustrophobic.
There was something, back then, that Anthony Hopkins brought that was new to the portrayal of serial killers. It's been 23 years and killers and psychopaths are sexy and hip now. But then, it was terrifying for a kid, like me, to go to the movies and be confronted with a character like that. One that could be so charming and easily out wit me. It was frightening to have that identification trick played on viewers.