The adapters usually work fine in most respects. I've tried various adapters, with and without focus confirmation, for Contax, Pentax, Nikon, and Leica, mounted on a Canon 5D.
But, no matter which lens or which adapter, i get weird, inconsistent focus results. Even when the viewfinder shows a sharp image, and the focus confirmation light is on, the resulting image can be wildly out of focus. So much so, that i have to search the image to find out just what WAS in focus. These issues are not predictable, but occurred on maybe 1 out of every 5 shots, on average. These were all with the standard focus screen. I have since changed to a different screen, supposedly optimized for manual focusing, but have not tried to use adapters with it. I just don't see the point any longer. The experience with trying all of those lenses proved fruitless, and made me appreciate the Canon glass i have (35L, 50/1.4, 85L). The only lens that impressed me was the Contax 50/1.4....
That said, you should buy your adapter from someone that offers a return policy of some sort. Look at the sites of dvdtechnik.com, and fotodiox.com. I've bought items from both. The ebay adapters i've bought have been hit or miss, and i couldn't recommend any of them — what you get may depend on what they have been supplied with That Week.