Using the Gharieni MO1 Max treatment bed is easy. First, adjust the position of the bed using the hand switch. You can choose from the four preset treatment positions or set your own two additional positions. When you start the treatment, turn on the Smart - Thermo heating system if you want some warmth. Make sure to keep the weight of the user and any additional items on the bed within the 400kg (880 lbs) lift capacity. For electrical safety, always use a 110v - 120v power source with a 3 - prong plug. To maintain the bed, regularly clean the chocolate upholstery with a soft, damp cloth. Check the base and lift system periodically for any signs of wear and tear. If you notice any issues, contact a professional for repair.