It took some getting used to, switching from 3 to 2 wheels. I hadn't had to balance on a bike for 5 years. I've figured out that the back passengers need to get on after I do. Otherwise it is too heavy and I have a hard time holding the bike up and getting on at the same time. Someone with more coordination, or forearm strength could probably do better.
http://www.mydutchbike.com/ is working with http://www.workcycles.com/workbike/ to bring these bikes and more to the Bay Area. This makes getting a quality utility bike so much easier. For my trike, I had to import it, with Henry's (of Workcycles) help. Now, My Dutch Bike can help you customize your bike to suit your style. It can come in almost any color and has a variety of configurations. A smaller front rack with a little middle kickstand is available, as well as opting out of the additional seating.
I love my Dutch Post Office Orange FR8, Oscar and Soraya of My Dutch Bike and Henry of Workcycles. I thought I'd miss my trike, but it's found a lovely home on the peninsula with a mom of 3. This isn't a cheap solution to getting around, but to me, it's worth every penny.