This is a neat idea. My only issue is that the only way to let the adjustable head back down is to lift ALLLL the way back up. Well, imagine if someone is convalescing in the bed at the time?... Yeah not a great idea there. And there mattress will slip around as the base is completely smooth and there is no slight dip to hold the mattress in place. There is a bar on the foot to keep the mattress from going off the bottom end, however there is nothing whatsoever to prevent it from sliding off the sides. Fortunately I added bed rails so that helped.