I was having surgery due to cancer, and ordered in every bathroom wipe aid I could find out of sheer desperation. When you have had a mastectomy, it's hard to reach anything for a while. I wasn't happy with any of them at first, but this one proved to be a true gem once I found a better way to use it. If you carefully stand up with no jerking movements or anything, and have this aid ready (so much easier to reach between your legs and push underneath, than having to reach around), this system works very easily (even my overweight aunt uses this now, and she's rather large). First off, I use Cottonelle wipes only, which is usually recommended, but I take two, and start by wrapping one end of two the wipes underneath the teeth of this thing to hold it firmly in place, and then wrap both wipes completely around and around till I am at the end of both wipes, and the teeth is completely covered. I squeeze to help them all stick together well (this is now your base, which helps to keep the third wipe you will be using, to stay on better, and helps to keep you from feeling the teeth when you wipe inside). Push gently as you won't need to use much pressure. If you feel the teeth, even through the base, which you have built out of the two wipes, you are pressing too hard. You should only feel the teeth slightly, which is buffered well by the base you made. You are now ready to do your business. You take the third wipe, and put it on facing towards you, meaning that you cover the tip of this thing going backwards onto the base (you should now have everything covered, and see no blue at the tip). I squeeze a bit to help each additional wipe I use, stick to the base I formed, and run this in between my legs, and it perfectly pushes underneath and wipes easily with almost no strain or effort. I bring it back between my legs a bit lower, VERY carefully, and I take the edge that has none of my number two on it, and pull it away slowly, and easily over the toilet, (remember it was only lightly attached to the base you built) and drop it into the toilet. I repeat by adding another wipe to my base, and another, and so on, until I see that I am all clear. I then unravel the base that I made, and throw that into the toilet as well. I am now done. I carefully wash my hands before and afterwards, and I am good to go. Please remember that I do all of this standing up, and sort of half squatting over the toilet backwards, which is why you want to do this carefully and slowly. All your really doing is half getting up slowly from the toilet, and using this from the easiest vantage point, which is underneath and not around. I got this routine down to five minutes in a very short amount of time. It's the easiest way with no major straining or hard buttons to push. This may sound complicated, but it's actually not complicated once you try it. It may be the only way you can wipe if you have had surgery, some sort of disability, are obese, or handicapped. It took me a little getting used to, but it was a godsend through the surgeries that I have had to go through. Since you are only using one wipe at a time after making your base, you are not even really using that many wipes. No reaching around, no fumbling, no having to press the release button. For a person with little to no impairment, this may sound like a lot to remember or a lot of work (it's really not once you get the hang of it, and it becomes routine), but if you can't wipe yourself for whatever reason, this is a Godsend. Hope this helps someone out there......