Getting her to dropping the tissue in toilet is difficult. She just doesn't want to wipe herself. I think she knows better but when you ask her she just wants to pull he pants up and keep going. She doesn't like the wet feeling against her bottom so she'll pull them off and get another pullup. I'm thinking if she knows to get another one and put it own why can't she go to the bathroom. Sometimes she's good other times she just doesn't and I don't know if it's just not clicking with her or she's just using the pads and not putting in the effort.