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You can either lift the seat, which will give you more room, or squat with the seat down. You can squat with your feet fully on the footpads, or with your heels on the rim of the toilet and your toes on the Lillipad. You can even put the toilet seat down and sit on it with your feet up on the Lillipad.
There are a couple of ways to get onto the Lillipad. Step onto the footrest, then onto the footpads, and then squat down. Or step backwards lifting one foot onto a footpad. Squat down until the heel rests on the footpad. Then lift the other foot into position.
With some practice you can actually leave your trousers around your ankles during these maneuvers without mishap.
Ensure that the toilet is secure and in good condition before transferring your weight onto the toilet rim. Give yourself a few weeks to adjust to squatting.
Semi-squat position
Try raising the feet onto the step while sitting on the toilet and lean forwards. This semi-squat position provides similar benefits with less effort.
Children
Is it necessary to discourage toddlers from squatting so soon to ‘toilet train’ them? Can you find a potty or re-use a plastic container that encourages your toddler to squat rather than sit? I suggest a long rectangular ice-cream container or similar. Children and adults who can’t leave floor level have managed successfully with this system.
When ready, children are generally light enough to squat on the toilet seat. However, if they are sitting, it is best for them to rest their feet on the step, it gives them something to push against. When finished, with the aid of the step on the Lillipad, children are able to reach up and flush the toilet.
