I'd been reading reviews and decided on the Bio-Bidet BLISS BB-2000 Elongated Bidet Toilet Seat. Both my wife and I have back, shoulder and arm issues, and have recently had surgery. My wife on her wrist and forearm. Me on my rotator cuff and bicep reattachment. Needless to say, taking care of "business" was a challenge. I decided to invest in this product. Installation was easy, even with one arm compromised. The first time we each tried it was incredible. The warm water makes using this very pleasant. I had tried a friend's, that didn't have heated water, and it was uncomfortable to say the least. The design and construction of this is incredible. Both my wife and I are not small people, and I was concerned about it holding up to 360 pounds of me using it. Not an issue at all! The features and remote make this truly a joy to use. The best part is when it's done, you are clean!