This Bemis large, thick Medic-Aid spacer is ideal for residential and commercial applications. Made from durable plastic, the ring resists chips, wears and stains. DuraGuard Antimicrobial has properties built in to protect the seat from the growth of micro-organisms. The 3-inch ring installs separately and sits between the bowl and seat, raising your seat to a 4-inch height. This ring fits elongated toilet bowls and is proudly made in Sheboygan Falls, Wisconsin, USA with environmentally friendly materials and processes. Toilet seat sold separately.