I agree with SanDiego1K. It really isn't that bad & I won't credit myself with having especially strong thighs or exceptionally good balance. The foot panels are very helpful for positioning & I just pull forward pants & undies to keep them clear of the action. Having a bit of TP with you is a very good idea, as it isn't always plentiful, but I wouldn't bother with anything else. It isn't my favorite mode, though I have opted for a clean squatty potty over a dirty western one and would make that choice again any day of the week. Their reputation is quite sensationalized, I think.