I've had this shower head for several months now and all I can say is "wow"! My home has decent water pressure, but it's not great. I also have a relatively small hot water heater (40 gallons).I previously had a dual-shower head setup that provided good coverage and decent pressure, but I'd run out of hot water when taking longer showers. This shower head uses less water, but it provides better coverage and the pressure feels much better.Another bonus is the technology in the shower head that creates larger water droplets. They retain more heat, so I don't have to turn on as much hot water but still enjoy a hot shower. Since installing this shower head, I haven't run out of water once.The ability to easily switch between the main shower head and the handheld is great, and I really like the different streams of water to choose from.I thought about removing the water restrictor to really open this baby up, but there's really no need to. It's a great experience right out of the box.