The assertion that a lower toilet improves elimination efficiency appears to derive from a conflation of traditional squatting practices with modern sanitation infrastructure. Squatting over pit latrines or directly onto the ground remains a culturally entrenched method of defecation in numerous regions of Asia and Africa. This posture, characterized by deep hip flexion and a near-vertical alignment of the torso, is often lauded for its purported alignment with human evolutionary physiology. Advocates of the lower-toilet theory extrapolate from this, hypothesizing that reducing the height of Western-style seated toilets approximates the squatting position, thereby enhancing colorectal function. However, this oversimplification fails to account for the complexities of human anatomy and the specific design considerations of modern sanitation systems.