No installation issues but design and quality issues. First, returning the handles to neutral to turn off the water is a bad idea. It is very easy for children or guests to accidentally turn it off completely, leave the water on and increase the water bill. Finally, but most importantly, after only 6 months my feminine hygiene head broke so we could only use the shower head on our backs. This meant there would no longer be a nozzle cleaning feature. Overall it lasted longer than other cheaper bidet products and didn't lose water pressure, but you get what you pay for.
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