Using this face cradle is a breeze. First, make sure it fits your table by checking the accessory hole size and spacing. If it does, adjust the height and tilt according to your needs and lock it in place with the single lever. You can choose to use it with or without the face pillow for added comfort. When it comes to maintenance, keep it clean by wiping it with a soft, damp cloth. Avoid using harsh chemicals as they may damage the black, heavy - duty plastic frame. If you have any issues, refer to the 1 - year limited warranty. Installation can be done on your own, but if you've included setup in your order, Universal can handle it for you.