The Tush Push Toilet Seat Lift installs without requiring modifications to the toilet. Just attach it in place of your toilet seat using the same holes. The Tush Push allows users who have trouble getting into and out of a sitting position maintain their independence in all areas of their lives. With a lifting capacity of 275 pounds, the Tush Push Toilet Seat Lift provides safe, reliable lifting in a compact and easy-to-install unit. Made in the USA.