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This topic is very timely--I just spent last Saturday at the medical supply store in San Diego. The sales person was very helpful. First you decide what you need. I have long legs and I have difficulty going from sitting to standing. the solution: get one with handles you can grasp to push yourself up --not the bars you use to push when walking. I chose the model for "Tall" because the "Medium" was too low making it too difficult to get to my feet. All accessories are usually priced separately. I decided to go with the Upright Walker because having forearm support relieves arthritic pain in my hands; forces me to walk w/o hunching over; and the brakes are more ergonomic. The uprights are more expensive, but since I will have to have one for a long time,I think it meets my needs better.