Very easy set up. I used it with a box spring and mattress and it is definitely high, but I like that! Some of the screw holes were a little bit off, but ended up working out fine. I agree with another review, I would lightly screw in all of them before tightening them all at the end--and make sure you tighten as much as possible! I wish there were ledges to ensure the bed didn't move but that hasn't been an issue. I would recommend this bed frame--it's a simple but nice looking frame.