The TOTO(R) Ultramax(R) One-Piece Round 1.28 GPF WASHLET(R)+ and Auto Flush Ready Universal Height Toilet with CEFIONTECT(R) has a sleek and clean high-profile design, upholding TOTO's vision to create a culture of comfortable, healthy living. The TOTO Ultramax features a modern, one-piece design that will instantly elevate any bathroom décor. The one-piece design is not only aesthetically pleasing, but also offers the benefit of being easier to clean versus a two-piece toilet. By removing the gap between the tank and bowl, dirt and debris have no place to hide. An additional benefit of the one-piece toilet is that there is no threat of leaks from bolts or gaskets that can occur in two-piece toilets. The TOTO Ultramax features TOTO's TORNADO FLUSH, a hole-free rim design with dual-nozzles that creates a centrifugal washing action that assists in rinsing the bowl more efficiently. This version of the TOTO Ultramax includes CEFIONTECT, a layer of exceptionally smooth glaze that minimizes waste from sticking to the ceramic. This feature, coupled with TORNADO FLUSH, assists to reduce the frequency of toilet cleanings, minimizing the usage of water, harsh chemicals, and time required for cleaning. This one-piece toilet is designed with Universal Height, allowing for a more comfortable seated position across a wide range of users. This version of the Ultramax offers TOTO T40 WASHLET+ and Auto Flush compatibility for when you are ready to upgrade to a hands-free flush system with electronic bidet seat. WASHLET+ toilets feature an opening on the bowl surface to help conceal your WASHLET+ supply line and power cord creating a seamless integration. The Ultramax comes ready for install into a 12" rough-in. The Ultramax is ADA compliant and meets the standards for EPA WaterSense(R) and CALGreen requirements. Features a left-hand chrome trip lever and includes TOTO SoftClose(R) seat SS113. Additional items needed for installation and use must be purchased separately: Wax ring, toilet mounting bolts, and water supply lines.