Highly recommend this back scrubber. I had always had difficulty reaching parts of my back due to some shoulder stress injuries and decided to give this a try. You can totally FEEL the difference after using it! Basically put on some soap or whatever wash you'd like and use the loofah side to buff you back clean, the loofah side provides a nice scrub without being too stiff or scratchy. The other side ( cotton or bamboo cloth ) is soft and cushiony and gives you soft soothing wash.