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There’s the flat surface vs the sloped inward surface which I think could allow the butt bones better comfort but I’m not sure. My brother in law is a paramedic and said many seniors gets stuck inside a toilet seat so this is very important. The cushioned ones don’t come with an open front and I think or assume that an open front will allow more area for positioning and washing with the hand sprayer . My parent also has a lower butt bone protruding from muscle loss so I prefer cushioning and am considering simply buying a large sheet of gel foam and making a large wide cover but only found motorcycle seat gel cushions which are 9” . The gel stick on cushions aren’t supportive enough even if I double them. Has anyone found a company that combines elongated cushioned open front toilet seat?

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Have a look at the seat he is currently using. Older (and more expensive) toilets have a longer seat. My daughter bought a new toilet on an upgrade, not only a new shorter one but also square (ish) rather than oval. It is the least comfortable seat I have ever used. However the over-the-top open commode seat is a great idea. We used one for MIL, and the extra height and arm rests are also very useful.
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I have seen seats that are vinyl with foam padding and very comfortable.
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