We needed to replace our existing shower head because I wanted one with a wand. Our old shower head had great pressure. This wand, although not rated low-flow, has horrible pressure. We even removed the reducer, which made hardly any difference at all. Another disappointing factor is the material. This shower head is made with the same materials as the $30 ones you can buy at your local convenience store - plastic. I was expecting something metal based on the original price. I wish we could return it, but since we removed a piece from the assembly, we can't.