I was very impressed with the quality of the chair. I am only 5'8'' and have had a disc herniation in my lower back so I use a pretty aggressive lumbar support when driving, etc. It works great when I'm sitting upright. The only con is that I wish there was a bit more lumbar support when reclining in the chair. I have the setting maxed out and end up tying on a lumbar cushion when reclining. I think the built in setting will be fine for most people. Set up was very straight forward as is adjusting the chair.