You could squat on the toilet seat – but for many people in the Western world squatting is super difficult (due to our general lack knee/hip flexibility). It’s also a little more dangerous with the risk of slipping or breaking the toilet seat – ouch! Using the PROPPR is a safe alternative. A foot stool for western toilets gets you comfortably close to the perfect squatting/releasing alignment (releasing the kink in your gut and allowing the colon to straighten) and is suitable for most levels of flexibility.