I bought it new/open box cheaper than I could buy a few parts I wanted to swap on my Dometic porcelain toilet. I was able to reuse the existing flange, I just had to attach it to the water supply pipe so it was flush on the other side (shark bite connectors made this very easy). Installation is just a matter of a few screws. I appreciate its incredibly light weight and cheapness, but the plastic seat resting on the plastic bowl makes a lot of noise every time someone sits down - a definite downside. Water jets clean well. Not sure why it needs so much clearance from the wall as it protrudes a bit and there is a lot of clearance between it and the wall.
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