Click here to buy your Smart Stool now!

Alternatively, you can purchase the Smartstool at Medicare Surgical Centre
79 Carlisle Street, Greyville (031-309 1243)

Sitting vs Squatting?

When we sit, the puborectalus muscles are only partially relaxed. During excretion the rectum still has a kink in it and this blocks the flow of waste from being removed easily from the body. This requires us to exert additional pressure for the removal of waste from our body. Excessive straining can lead to a variety of ailments such as:

  • Constipation
  • Bloating & Straining
  • Hemorrhoids
  • Irritable Bowel Syndrome (IBS)
  • Bladder Problems
  • Colon Disease
  • Pelvic Floor Disorders

What happens when we Squat?

Squatting relaxes the puborectalis muscles and straightens the rectum to allow for ease of elimination of waste from the body without excessive exertion. This results in faster, easier and more complete elimination of waste.


The Smart Stool is ergonomically and anatomically designed to assist with waste elimination by enabling the user to mimic the natural squat position which humans have been using for tens of thousands of years.

The Smart Stool is used in conjunction with various size toilets and can be tucked away conveniently under the pan when not in use. It’s seamless design allows for easy cleaning and the rubber pads underneath provide non-slip grip. It’s family friendly and can used by all ages, even as a stepping stool for toddlers.

Man was not meant to sit on a toilet, but to squat in a field

- Michael I. Freilich, MD (Retired Surgeon)