The town I live in Framingham, Massachusetts, is incorporated as a town. This means it's governed by an elected Board of Selectmen and a Town Meeting (as well as a Town Manager, hired by the Selectmen, and various elected and appointed boards, such as the Board of Health and the School Committee). While many smaller towns in the area still have a Town Meeting that's literally open to anyone who wants to show up and speak, Framingham (with a population of close to 70,000) has an elected town meeting, in which each precinct elects a slate of meeting members.
There's been agitation for a few years to turn Framingham into a city, with an elected mayor and full-time city council. I don't know all the arguments the advocates are giving, though I've heard suggestions that it would improve efficiency and accountability. Marlboro, with slightly over half Framingham's size, has always been a city. I don't know whether it's felt to work well there or not.
But anyway, I think it's worth airing the issues, and the advocates of charter reform have been trying to get signatures to put the question on the ballot this April. If it passed (the ballot question, not the petition), a charter reform committee would study the question. According to this article in the Metrowest Daily News, they have until Feb. 5 to get 5,544 signatures, a little over ten times as many as they already have. If you want to sign and haven't yet, I suppose, you can contact them, or go find the guy who stands in front of Stop & Shop.