The TOTO WASHLET+ RX D-Shape Bidet Toilet Seat with PREMIST delivers ecology-minded luxury in a streamlined design. Instead of traditional toilet paper that can sometimes be rough and often ineffective, the WASHLET quickly provides comfortable warm water cleansing at the touch of a button. The TOTO WASHLET RX WASHLET+ is designed to seamlessly connect the RP T60 WASHLET+ Ready D-shape Wall-Hung Bowl. The WASHLET+ RX T60 is fully automated, featuring a soft rear spray, rear cleanse, and front cleanse with the option of an oscillating or pulsating stream. The controls are located on a slim, wireless remote. PREMIST wets the surface of the toilet bowl, aiding in the removal of waste and resulting in a better clean. The wand is self-cleaning, using TOTO's EWATER+ system before and after every use. The WASHLET+ features customizable features including a heated SoftClose seat with five temperature settings and five adjustable water pressure and temperature settings. The WASHLET+ is designed with an automatic air deodorizer to help mask any unpleasant odors. Using a WASHLET+ reduces the need for toilet paper, saving trees and water used to manufacture each roll. Medical conditions, age, and debilitating illnesses can make using the bathroom without assistance almost impossible; but with a WASHLET+, just the touch of a button can leave you feeling clean. Includes mounting and connection hardware. The RX WASHLET+ is designed to work with TOTO RP T60 WASHLET+ Ready D-shape Wall-Hung Bowl only. If you are looking for a WASHLET bidet seat to fit your existing toilet installation, please look for WASHLET models that do not contain WASHLET+ in the description.