Easy install as expected. You do not need to be handy in any way to swap to this luxurious showerhead.  The various sprays are all wonderful in their own way.  The head puts out unparalleled pressure as expected from the Speakman brand.  If you want even more pressure the water saver insert is a snap to remove.  Carefully pop out the little screen in the head, once you have that out you can use a drill and drill bit to carefully drill into the water saver.  Once you’re in enough that you can’t just putt the drill out, give it a good yank.  Out pops the saver on the drill bit.  Replace the screen and install as usual.  If you’re concerned about water usage, take a shorter shower ;).  That extra water pressure is worth it after a long stressful day.