I like this item very much.  The only problem I have with it is when you pull the backrest up to the right spot you want it does not stay there.  Once you sit on the lounge the backrest rachets up a few more clicks.  So you either have to lay flat or sit up straight. If you play with it long enough you can get it just right. The hole for your head when you're facing down is terrific. Love how there are holes on the side for your arms.