This is a compact sized toilet, and not ADA height. It is an excellent toilet for smaller spaces, and shorter people, which I was specifically looking for.The flush is strong. It comes with the highest quality toilet flange bolts I've ever seen. They are so good, one of the 3 freshly installed Oately flange types I installed it on - the slots were too small for the heads, and I had to use Oately's much smaller crappy flange bolts.I'd recommend getting a non-wax seal instead of the wax one that's included. I never use wax anymore unless your flange is a disaster, but still able to hold the flange bolts good enough, and you think it would only work again with wax.I loveThe full skirt.The high quality way the toilet seat mounts (much better than the standard US toilet way).Brondell bidets (thin with round rotating seat bolt slots) work excellent with it.The ease of installation with the large flange nut access holes, and decent sized gap in back for plumbing.Super well thought out product in general.The one small drawback is that the rim flush isn't super strong and sometimes things stick to the upper dry part of the bowl even after a flush. But this isn't a big issue unless your family has regular sticky big blowouts. I've never found the "perfect" toilet, and this one is as close as I've found AND at a reasonable price.