Yes, sometimes the +P bullet expands more than the standard pressure load.....or expands more quickly resulting in a more shallow final position in the soft gel. The end result is higher degree of trauma earlier during penetration, a larger expanded bullet resulting in more trauma.......or if expansion is the same as the standard pressure load you would get greater penetration. Higher impact energy and momentum are multiplied by the higher velocity of +P loads generating better barrier penetration too. Other than the concerns about additional recoil, its hard to find a downside to the 147gr+P load.