I purchased this for my disabled father for Christmas. I installed it and it seems to be very high quality. My Dad loves it. Low heat seems to be the perfect setting for him. I purchased a GFCI outlet adapter that plugs into an existing outlet along with a heavy duty extension cord with some 1/4 inch plastic coax staples to tack the cord to the wall. Everything works perfect. The blue LED light is a nice touch. I installed this heated seat onto a Kohler Highline toilet. The adjustable spacers/bolts included with this product made installation a breeze.