Bought this bed and mattress for my very petite elderly mother so the bed could be lower to the floor than her poster bed. The height of the bed frame is very easily adjustable with no effort. It adjusted to exactly the height she needed. The controls are easy to operate and have a battery back up in case of a power outage. The mattress adjusts to desirable levels at both head and feet. My mother said she gets a good night’s sleep on the mattress. My only issue is finding a waterproof mattress pad that is stretchy enough for adjustable mattress.