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I lived in Italy for a while. Real Italian pizza is more of a single course of a meal than an appetizer, you'd order a pizza then something else to go with it. It doesn't come cut into pieces like in the U.S. Americans that don't like real Italian pizza are usually disappointed that it doesn't come loaded down with toppings like American pizza. I personally don't like loaded pizzas, for me I'd much rather just have cheese or pepperoni. That's not normal in the U.S. though as most people turn up their nose unless it's a loaded "supreme" style and pizza places push that because it can double the price.

For the most part it's hard to beat a real pizza in Italy, they're pretty fantastic. There is certainly good pizza in the U.S. but many times it's not what Italians would think of as pizza. That's OK too. However, Domino's has never been what I though of as good pizza, even after their supposed revamp a few years ago where they claimed they improved it. I couldn't tell any difference, it still pretty much sucked. I'm not going to say I'm above ordering Domino's when I'm stuck in a hotel on a business trip and it's the only thing nearby, but I would never intentionally seek it out. I can't imagine anyone picking Domino's over a real italian pizza so I'm astonished anyone ever though they could ever make Domino's work there.

There is certainly good pizza in the U.S. but many times it's not what Italians would think of as pizza. That's OK too.

Yes, exactly. My parents were born in Italy. We make homemade pizza that we serve as an appetizer in a larger meal, or for a snack/light lunch with other things like cheese and meat. All the same, they got pretty used to American-style pizza as a main meal and they don't turn up their noses at it.