Disclaimers - I have had this less than a week and this is a "first impressions" review that will be updated over time if it needs to be. Also, there may be some slightly icky medical descriptions in here, so make note of that. It's a longer review and I'll do a pro and con format. My initial situation - I'm a larger guy who had "roids" in the rear and HAD to have an operation to fix the issues. So yes... painful before, and stiches in the rear (ouch and OUCH), and I'm still in recover from that. TP is an absolute NO in that situation, and while wet wipes are slightly better, you still go through a ton of them to properly clean yourself in this scenario. Tried a travel bidet bottle, but they are awkward to hold, squeeze, aim and use at the same time, so I splurged and bought the Bio Bidet 2000. Observations so far: The PROS: 1) Flat-out, they clean you VERY well compared to the above mentioned alternatives. It heats water on demand (not via a storage tank), and has a heated seat if you need it. The water rod extends out of it and can be moved up and down (length wise) by a few inches to hit varied areas back there, or you can have it move up and down on it's own. There are five levels of water power spray (I am not making it passed 2 yet - it CAN be powerful) and there's an "enema" spray that's a more narrow spray of water and stronger. Lots of spray options. 2) Remote control is large and has every option on it. You can adjust spray strength, rod extension, auto or full manual controls, adjust water temp from cold to very warm, dryer heat, seat heat, and more. There's a very basic control panel on the side of the seat that will let you do the basic "male, female, stop" controls should something happen to the remote. 3) This particular model is rated to hold up to 400lbs. If you are a heavier/larger person it's one of the ONLY models that goes up that high weight rated wise. And yes, you pay for that out of the wallet. I had a plumber install it since I can't get down due to the surgery to do it, but it took the pro about 30 minutes to do it right. 4) Comes with a 3 year warranty standard - you can (at the time of this writing) extend it to 6 years for $99 from the mfg. The CONS: 1) The seat is rated to 400lbs, but feels like a cheaper plastic seat you can get anywhere. The mfg assured me they ARE rated that high, but a tip - she said the plastic used CAN degrade over time if you use the seat heater function a lot, as the heat can degrade the plastic. So... use the heat less, and there's less chance of this. I live in a warmer area, so heated seats are not necessary for me. 2) The oval seat I got is SMALLER than a typical oval seat size, opening wise. I guess it's because there are mechanical parts in the back of the seat that need room, but it's noticeably smaller opening wise than my old standard seat. Comfortable enough to sit on, but almost feels like a kid's seat to a larger person - more averaged sized people may not feel this way. 3) This uses (give or take) up to around 1500 watts of power if you have the water temp and seat temp cranked up along with the seat in-use. Make note of that if you have an older home with older circuit boxes. You can tone these settings down or use the "eco" mode to save power. If I crank it up, it literally makes my bathroom lights flicker when using it. The power cord is only around 3 feet, so if your outlet is on a wall and not next to the toilet, invest in a heavy-capacity extension cord for it. 4) You CANNOT sit on the lid - it's just frankly, cheap plastic. You can only sit on the seat. 5) The air dryer is in a spot where on ME, it literally just blows warm air on the side of my left rear cheek and does not um, "go exactly where it needs to go" - this is me, or I would think larger people in general. More averaged sized people may not have this issue. Summary: While there are some cons for me, ultimately it boils down to one thing - it's ability to clean you in that area, and in that regard, it's a HUGE pro. Recovering from surgery, and also having mild IBS type gnarly visits to the bathroom sometimes, this device really DOES clean a whole lot better than wiping, or using travel bottles. It's literally like a car wash for your rear end. It will help you in terms of cleanliness but also help your demeanor, because anyone who has to spend a lot of time wiping and cleaning after every single trip to the bathroom for whatever reason will tell you - it wears you down mentally too, as well as sometimes even making you sore physically. This should help a lot. Does it completely eliminated the need for TP or wipes 100%? No. You'll still need to dry yourself after, and maybe use 1-2 wipes etc. But it will cut those down considerably. These are certainly not cheap. And if you are not someone who is over 250lbs (the rating for most of these type toilets) you can probably get one of the other models rated for those sizes, because this again, has a rating of 400lbs, and you're paying a lot for that extra feature. Shop around but what it boils down to is, a good bidet toilet seat is going to (not exaggerating) change your life in terms of being clean "down there" compared to what you've probably been doing your whole life. Happy spraying.