If you get a room on the second floor, the hotel is fine (the first floor rooms are terrible). Its a long walk down a busy street to the city walls, so plan on the bus.

After reading the reviews of this hotel you either stayed some place with the same name or you need to get a grip. The hotel is small, the staff is very friendly and helpful. Yes, the hotel is a little way out of Siena, but very cloose to the train station. We took the public bus, waited about 10 minutes and it took about 5-10 minutes to get into Siena. Riding local transportation is a cultural experience. Our room was clean, reasonably sized, bathroom was obviously an add-on, very small and about 20 degrees colder than the room! We found a nice little deli and owner was very friendly. She only had a few words of English, but we all managed. There is a locked car park behind the hotel. We were well situated for our day trip to San Gimiginano and Montereggioni. I would stay there again.

Went to Siena this summer and booked the palio package this cozy little hotel had to offer. We saw it all and then some. Great guides were furnished throughout the the four days and the dinners before and after the Palio were great fun. The seats for the Palio were on the famous and dangerous curve of San Martino. What a view! If you do this, be prepared to withstand the crowds and the heat. This trip is not for the faint of heart. The days of the Palio are wild. It was the experience of a lifetime.
Everyone at the hotel was extremely pleasant and went out of their way to satisfy their guests. The rooms were small but cozy and pleasantly furnished. The breakfast provided each day was downstairs in a little cantina. Once again, very cozy, service was friendly with lots of choices to please anyone. I wouldn't hesitate to return to Villa Piccola Siena.

Although the room was small (a bunk bed w/ a double bed) for 4 adults that was not the problem. The problem came w/ the Palio tickets we purchased through this hotel. We were to have a balcony view of the Palio (which we did), but were not told that on the balcony there was only standing room. The problem w/ that was that standing meant just that...no room to turn...just stand for about 3 hours until the race. The balcony was 2 boards @ 2 by 6 onto which 40 people were stuffed. We were not told until we were actually on the balcony that if we left our spot 1 hour before the race that we would lose out spot.
We were to have access to light snacks (which we did) and beverages as part of the ticket price. The beverages ran out well before the race & were not replenished even when the management was told about the problem. I will add the leftover snacks were part of the breakfast offered the next morning. After sitting out most of the day none of my group was inclined to trust its safety.
But the worst part was that at the last minute the owner of the property on which the bar was located pushed onto the balcony w/ 3 friends. He proceeded to sexually assault one of our group. When the organizer from Villa Piccolo Siena was told of this he pretended not to understand and did nothing. Beware.