These work! I've been a paraplegic for 35 years. My bowel routine had been very consistent and easy for 25 years. But then about 10 years ago I started having trouble getting things moving. The thought of using a magic bullet was at first 'ewe', but I became accustomed to it. I insert the bullet. Within 10 minutes I perch on the can. And withing another 5 minutes my bowels start doing their thing. I do have to use digits to be sure all is finished. A diet to keep stuff soft and watery makes the process work better. I also mix a drink of Mira Lax once/day to help keep stuff soft.