I just finished installing this product and so I have limited use (testing without pooping) so my review will be made with the expectation that it works at cleaning the bum.The first thing I noticed was the finish and build quality. Outer edges of the knobs are flaked and one part in the middle is very obvious. I didn't get a picture before the install but part of the white plastic was also a bit scuffed. No part of the product looked like it had been used before and the issues appeared to happen during manufacture/assembly.Which speaking of the white plastic part, it feels *very* flimsy. This is a personal bathroom in our house and not one others use so I don't feel like it will be an issue with others being too rough with it but I would definitely be concerned about the longevity with heavy usage.The hot water hose/connection is also poor. I'm not a newbie to plumbing and have replaced toilets, sink faucets, added lines under the house, fixed lines to the shower, and added a hose connection for outside. I've used push-to-connect before and have multiple SharkBite fittings in my house. Some are even behind walls, I'm that confident in them. This offering from Tushy is questionable though. The first problem I encountered as an uneven cut to the hose. Uneven enough to not allow the hose to properly insert into the fitting. Thankfully I had to tools to cut it evenly but even then it took *significant* force to get the fitting in 100% of the way. I had to remove the push-to-connect fitting from the Tushy in order to get a proper amount of force. Maybe my experience wasn't the norm, I don't know, but it was worse than any push fitting I've ever handled.I understand that Tushy wanted to save here since it's easier and cheaper to supply a long polyurethane tube than a proper supply line, but I wish they offered a custom order option (where we could also have brass connections to other parts of the product). Though I have the hot water line installed and working leak-free I still chose to hop on here and order an 8-foot supply line so that I could be more confident in it *staying* that way. With how they've clearly kept prices down in the other aspects of the product I really wish they would have just included one to begin with. They could have done that and still include the polyurethane tube and fitting and still be making a profit, while also providing a better experience for customers.All that said, I do believe I'll be happy with the product. The water power was strong enough and didn't have to turn it very high, maybe halfway. So I have no doubt that whenever I need to use it for a real clean -instead of a test- that it will fully clean.UPDATEGave additional star. I've used it to clean multiple times now and it does do very well. The one "issue" was that I'd have to move the temperature knob all the way to warm to get anything more than cold water. Today though I changed out the included hot water line with a faucet line that finally got delivered yesterday. Not only did this make me more confident in the connection but it has improved the temp as the line is bigger, so the Tushy gets a larger supply of hot water. Be warned though... WARM on the knob will now get *hot*. Thankfully I assumed that'd be the case so started on cold and slowly worked the knob up to get a temperature I was comfortable with.