Edit: I think I may use this as a cushion for my work from home desk when I am more recovered. Since I am so tender after the surgery, this is not a practical option for the toilet or desk chair at this time.

First, I figure I should identify that the product (I got the 4-inch cushion) just didn't fit my particular needs. IMO, that does not warrant a bad review. The 4 out of 5, is because I cannot return this unused item (though I get why they may not take it back). I would strongly recommend asking questions if you are not sure. I had to have my surgery the following day and didn't have enough time to do very thorough research.

(Potential) PROS:
- Much more firm than expected
- Gives a lot of height if you are tall without discomfort
- appeared to stay in place
- Durable (well-made, doesn't seem to be flimsy)

Cons:
- non-returnable items
- opening to the toilet is too small
- did not flatten enough to feel confident I would not make a mess
- doesn't seem practical for post-surgical use if you need a cushion

This product just didn't work for my situation. I just had surgery where I needed something soft. I took a chance based off of others' reviews saying it squished down too much. That is what I was looking for. Unfortunately, as someone else mentioned, the opening to the toilet was too small. I felt like because I was not flat enough, I was going to urinate all over the seat and potentially get some on myself.

This MAY work for a male who can possibly aim more strategically while sitting, but not sure how it's might work for bowel movements without making a huge mess. I needed something post-surgical, but this was not it for me.

I

We have "baby toilets" and until we can replace them I got this seat cushion. It fits great on the toilet seat! There are four sets of Velcro that keep the cushion anchored. VERY soft and comfortable. Very reasonable price and when I need another, I will definitely buy from this seller/company.

This pillow topper for the elongated toilet has helped me to get rid of my horrible pain in my lower butt, and down my leg to the side of my calf. I could not walk for months. I thought it might be from spending so much time on the toilet seat last year. I had a very bad year of IBS and was on the toilet a lot. That is when the pains came on. I went to Dr's, PT, even got shots. Nothing helped. Finally decided in June to try using this pillow. What could I lose?
It is now Sept, and 85% of the butt pain, the leg pain has gone away. I am able to walk and do things I have not done since a year ago.
I will say I am getting a new one because I think the foam is getting a bit too soft, and I don't want to take a chance of putting pressure on my sciatic nerve again which might bring back the pain.
I weight 104lbs so if someone is heavy, I don't know how long the pillow will last. I have no problem ordering a second or third one if I never get that pain back.
Each person will have to make up their own mind. It certainly has helped me.

Gives just enough height to help get up from a short toilet without having to use your arms to get up. Also comfortable enough that legs don't fall asleep when you are sitting there awhile. If you need this, it's worth the price for sure.

Has held up well
.