We got this seat about a month ago, and I have to say it's changed the life of one of my family members. My dear relative was suffering from constant concerns of not being clean. This resulted in very long visits to the bathroom, excessive use of toilet paper, and worst of all, painful physical side effects of overuse of rough tissue (even the softest available). It was an ongoing source of discomfort, embarrassment and anxiety. We also had frequent plumbing stoppages. This luxury toilet accessory has been such a relief in this person's life. Now my family member feels confident of cleanliness and the physical effects from previous overuse of toilet issue are no longer a problem. Not to mention we are using about a fourth of the toilet paper and have not had any overflows since installing this product.