I have arthritis in my hands and I’m able to use this rolling machine without much trouble at all!Haven't had one in years and totally brought me backThe first one I was sent came completely broken with one of the two rollers on the inside that had snapped off. I was very promptly sent a working replacement. The roller itself works fine however it is a much wider diameter than the ones that I am used to. Rolls up wider than a cigarette which is fine for most people, but if you're used to other rollers you'll go through much more "product". Also a bit flimsier than many out there. Gets the job done in a pinch but I'd honestly recommend choosing differently.I bought this to replace the RAW cigarette roller that I accidentally placed inside the box of an Amazon return with a fresh pouch of American Spirit. Yes, it was stupid, and yes, I’m still mad about it.The rolling mechanism on the ELEMENTS doesn’t feel like it would grip, but it surely does. The rolled cigarettes are nice and tight, regular-sized smokes. The replacement roller is cool, but I can’t imagine wearing it out to the point of replacement.The acrylic material feels really sturdy. I’m a little ham handed, so delicate small tools won’t work. I bought a carton of RAW rolling papers to use with the aforementioned RAW cigarette roller - may it rest in peace - and they fit nicely inside this roller with no problems.I bought it for a friend, she likes it, easy to use.Works great and they give you an extra sleeve for the rolling.The apron they use is so much better than what I've used in the past. Haven't used the elements roller as of yet. Took spare apron and placed it on an old Raw roller. Works perfect and so much better than before. No longer tight and worried about apron breaking at seam (: