My wife has been after me for a long time to change out the showerhead. Frankly it was a low priority the other one seem to be OK but was ultimately an el cheapo from many years ago. Came across this one at Sams for 35 bucks! Easy install – I’m very tall so left existing extension on. No issues to tilted for shorter people. I spent longer in the shower than I have in a while checking it out and felt like I had gotten a massage. Love waterfall setting and pulsating on lower back terrific. Buy it you will love it!!