I felt like the patch had tons of changes in a lot of areas of the game that had been figured out "so to speak".
The map changed in meaningful ways, so radiant doesn't have ancients next to roshan, there's not gonna be a clusterfuck at mid, but I didn't like the offlane towers being moved forward a bit.
Obviously don't like a new hero, new items; I hate the changes to necro and axe so they get perma buffs which is pretty stupid. It's a little late to say how the meta will shift with some heroes getting much, much weaker, like visage. Alll in all I'd say it's a lot of negative changes, but I feel like the game won't get stale in a few months because of the map stuff. We won't see