I purchased 2 of these changing tables for installation in restrooms. Overall, these are well build and not that difficult to install - but the level of difficulty may vary based on your wall material.For drywall and stud installation, the easier method would be to mount a plywood backer that is the same size as the back of the changing table. This way, you do not have to worry about hitting a stud and have plenty of material to anchor to. I would not recommend wall anchors of any type with changing tables, but that's just my personal level of comfort.For my installation, I was installing this into a cinderblock (CMU) wall. This was actually easier, provided you have the right tools. A hammer drill and tapcon concrete anchors work perfectly, as long as you have a washer for the main anchors. Simply measure and mount the provided hanger, then mark where the main anchors need to go in the wall.Installation took less than 30 minutes, once I had the tools and hardware ready.The product itself is well constructed, but I feel that the "wipe holders" aren't really necessary unless you're planning to stock them yourself, and most commercial spaces don't do this. The "safety strap" seems well placed and strong enough, and the hinge mechanism is solid.For the cost, this is a very nice changing table. There's no excuse for any all-ages venue not to have one of these in both the men's and women's restooms.