Shower better than a billionaire with the Waterpik Massaging dual shower head. This was a quick and simple install and the modes are great - my favorite is pulsating massage option to relieve back muscle tension.

There is also a high pressure "normal" mode, a low pressure normal mode, two massage modes, and a few others I've never honestly used. I literally wouldn't shower anywhere without it unless I had no choice. This shower head is really a mood booster - even if you're getting burned by inconsistent water temperature, you're still thinking "I've never been so happy to be frozen or burned!" There aren't any pre-installed low flow washers that I'm aware of - I did nothing except install this and I haven't wanted to get out of the shower any morning since.