Pleasant to use, but with caveats however for the massage elements too at the center and do not deviate enough at shoulders and kidneys. This, in my opinion, takes away much of its effectiveness .So the three settings (Dos full, kidney or shoulders) are not as effective as I hoped. the massage elements are only up and down after every session and leaves a sense of unfinished business. I wish that the massage lasts longer on the selected zone. Now, I imagine that for the price of the article I could not claim better.