The design and construction are heavy and high quality. The components are very well made and nicely finished. Some reviews cite problems with the fixtures not being level or loose but I can’t ding the product for these problems. It is true that the provided wall anchors are probably too small for non-skilled installers to ensure a solid connection to gypsum board alone. This is the case with many other high quality bath accessories, even Moen and Kohler, so I always purchase my wall anchors separately. Note however that the Fapully screws for the wall anchors are high quality stainless steel and this is rare. Regarding maintaining a level accessory for those that have only one anchor point (like the toilet paper holder) there are slots on the part that gets screwed to the wall and two set screws which allow fine adjustment of the angle of the accessory. Again it just requires a bit of skill.