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We agree with difficulty part - TAPI and SAPI are difficult technologies to master.
We can help with the C# part.
Go here and watch the video to see how easy it can be to do speech and telephony in your favorite language.
For more detailed information you might want to take a look at our online help.
To find it if it really is as easy to build an IVR application in your favorite language as we say it is, you can download our free call simulator and try us out.
Building a server application to answer telephone calls in a scalable way is too hard.
Buying an IVR is often too expensive.
In either case, very often integrating with existing systems in your enterprise is cumbersome.
Markup languages such as VoiceXML and SALT are great at documents but they are poor choices as development languages. Build your application using the language and the tools that you know.