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The bed is very sturdy overall. I love it for the electrical part that goes up and down. The manual tilt is very smooth as well and can stop at any degree of the incline. The only complaint would be how firm the bed topper itself is. The description says its 4 inch padding but not sure what kind of padding it is.. it's HARD! It's not comfortable to lay on it for more than 30 mins. I added a 2 inch memory foam padding on top and that made a huge difference. I also wish there's an option to add on arm rests on either sides for my bigger clients since this bed is pretty narrow overall. I'd totally buy this bed again for the price point and how sturdy it is.