The chair is generally very well constructed.  The only issue is that when the seat part is flat, the back is tilted slightly back making it hard to sit up.  When the back is straight, the seat part is tilted forward.  My father has Parkinsons and he sits in the chair all day and this is a major issue.  He's either sliding out or sitting too far back. The actual pictures Wayfair uses shows that is the case. The laying down position he loves and it works great as do the other features.