FROM THE WEIBO WATCH PREMIUM NEWSLETTER
Shoe prints on top of the toilet seat are never a pretty sight. To prevent people from squatting over Western-style sitting toilets, there are some places that will place stickers above the toilet, reminding people that standing on the seat is strictly forbidden.

For years, this problem has sparked debate. Initially, these discussions would mostly take place outside of China, in places with a large number of Chinese tourists. In Switzerland, for example, the famous Rigi Railways caused controversy for introducing separate trains with special signs explaining to tourists, especially from China, how (not) to use the toilet.
Squat toilets are common across public areas in China, especially in rural regions, for a mix of historical, cultural, and practical reasons. There is also a long-held belief — backed by studies (like here or here) — that the squatting position is healthier for bowel movements (for more about the history of squat toilets in China, see Sixth Tone’s insightful article here).

Public squatting toilets in Beijing, images via Xiaohongshu.
Without access to the ground-level squat toilets they are used to — and feel more comfortable with — some people will climb on top of sitting toilets to use them in the way they’re accustomed to, seeing squatting as the more natural and hygienic method.

Not only does this make the toilet seat all messy and muddy, it is also quite a dangerous stunt to pull, can break the toilet, and lead to pee and poo going into all kinds of unintended directions. Quite shitty.

Squatting on toilets makes the seat dirty and can even break the toilet.
Along with the rapid modernization of Chinese public facilities and the country’s “Toilet Revolution” over the past decade, sitting toilets have become more common in urban areas, and thus the sitting-toilet-used-as-squat-toilet problem is increasingly becoming topic of public debate within China.
The Toilet Committee and Preference for Sitting Toilets
Is China slowly shifting to sitting toilets? Especially in modern malls in cities like Beijing, or even at airports, you see an increasing number of Western-style sitting toilets (坐厕) rather than squatting toilets (蹲厕).
This shift is due to several factors:
🚽📌 First, one major reason for the rise in sitting toilets in Chinese public places is to accommodate (foreign) tourists.
In 2015, China Daily reported that one of the most common complaints among international visitors was the poor condition of public toilets — a serious issue considering tourists are estimated to use public restrooms over 27 billion times per year.
That same year, China’s so-called “Toilet Revolution” (厕所革命) began gaining momentum. While not a centralized campaign, it marked a nationwide push to upgrade toilets across the country and improve sanitation systems to make them cleaner, safer, and more modern.
This movement was largely led by the tourism sector, with the needs of both domestic and international travelers in mind. These efforts, and the buzzword “Toilet Revolution,” especially gained attention when Xi Jinping publicly endorsed the campaign and connected it to promoting civilized tourism.
In that sense, China’s toilet revolution is also a “tourism toilet revolution” (旅游厕所革命), part of improving not just hygiene, but the national image presented to the world (Cheng et al. 2018; Li 2015).
🚽📌 Second, the growing number of sitting toilets in malls and other (semi)public spaces in Beijing relates to the idea that Western-style toilets are more sanitary.
Although various studies comparing the benefits of squatting and sitting toilets show mixed outcomes, sitting toilets — especially in shared restrooms — are generally considered more hygienic as they release fewer airborne germs after flushing and reduce the risk of infection (Ali 2022).
There are additional reasons why sitting toilets are favored in new toilet designs. According to Liang Ji (梁骥), vice-secretary of the Toilet Committee of the China Urban Environmental Sanitation Association (中国城市环境卫生协会厕所专业委员会), sitting toilets are also increasingly being introduced in public spaces due to practical concerns.
🚽📌 Squatting is not always easy, and can pose a safety risk, particularly for the elderly, pregnant women, and people with disabilities.
🚽📌 Then there are economic reasons: building squat toilets in malls (or elsewhere) requires a deeper floor design due to the sunken space needed below the fixture, which increases both construction time and cost.
🚽📌 Liang also points to an aesthetic factor: sitting toilets simply look more “high-end” and are easier to clean, which is why many consumer-oriented spaces prefer to install Western-style toilets.
So although there are plenty of reasons why sitting toilets are becoming a norm in newly built public spaces and trendy malls, they also lead to footprints on toilet seats — and all the problems that come with it.
The Catch 22 of Sitting vs Squad Toilets
This week, the issue became a trending topic on Weibo after Beijing News published an investigative report on it. The report suggested that most shopping malls in Beijing now have restrooms with sitting toilets, which should, in theory, be cleaner than the squat toilets of the past — but in reality, they’re often dirtier because people stand on them. This issue is more common in women’s restrooms, as men’s restrooms typically include urinals.
In researching the issue, a reporter visited several Beijing malls. In one women’s restroom, the reporter observed 23 people entering within five minutes. Although the restroom had only three squat toilets versus seven sitting ones, around 70% of the users opted for the squat toilets.
Upon inspection, most of the seven sitting toilets were dirty — despite being equipped with disposable seat covers — showing clear signs of urine stains and footprints. They found that sitting toilets being used as squat toilets is extremely common.
It’s a bit of a Catch-22. People generally prefer clean toilets, and there’s also a widespread preference for squat toilets. This leads to sitting toilets being used as squat toilets, which makes them dirty — reinforcing the preference for squat toilets, since the sitting toilets, though meant to be cleaner, end up dirtier.
In interviews with 20 women, nearly 80% said they either hover in a squat or directly squat on the toilet seat. One woman said, “I won’t sit unless I absolutely have to.” While some of those quoted in the article said that sitting toilets are more comfortable, especially for elderly people, they are still not preferred when the seats are not clean.
In the Beijing News article, the Toilet Committee’s Liang Ji suggested that while a balanced ratio of squat and sitting toilets is necessary, a gradual shift toward sitting toilets is likely the future for public restrooms in China.

How NOT to use the sitting toilet. Sign photographed by Xiaohongshu user @FREAK.00.com.
Liang also highlighted the importance of correct toilet use and the need to consider public habits in toilet design.
In Squatting We Trust
On Chinese social media, however, the majority of commenters support squatting toilets. One popular comment said:
💬 “Please make all public toilets squat toilets, with just one sitting toilet reserved for people with disabilities.”

Squatting toilets in a public toilet in a Beijing hutong area, image by Xiaohongshu user @00后饭桶.
The preference for squatting, however, doesn’t always come down to bowel movements or tradition. Many cite a lack of trust in how others use public toilets:
💬 “When it comes to things for public use, it’s best to reduce touching them directly. Honestly, I don’t trust other people…”
💬 “Squatting is the most hygienic. At least I don’t have to worry about touching something others touched with their skin.”
💬 “I hate it when all the toilets in the women’s restroom at the mall are sitting toilets. I’m almost mastering the art of doing the martial-arts squat (蹲马步).”
Others view the gradual shift toward sitting toilets as a result of Westernization:
💬 “Sitting toilets are a product of widespread ‘Westernization’ back in the day — the further south you go, the worse it gets.”
But some come to the defense of sitting toilets:
💬 “Are there really still people who think squat toilets are cleaner? The chances of stepping in poop with squat toilets are way higher than with sitting ones. Sitting toilet seats can be wiped with disinfectant or covered with paper. Some people only care about keeping themselves ‘clean’ without thinking about whether the next person might end up stepping in their mess.”
💬 One reply bluntly said: “I don’t use sitting toilets. If that’s all there is, I’ll just squat on top of it. Not even gonna bother wiping it.”
It’s clear this debate is far from over, and the issue of people standing on toilet seats isn’t going away anytime soon. As China’s toilet revolution continues, various Toilet Committees across the country may need to rethink their strategies — especially if they continue leaning toward installing more sitting toilets in public spaces.
As always, Taobao has a solution. For just 50 RMB (~$6.70), you can order an anti-slip sitting-to-squatting toilet aid through the popular e-commerce platform.

The Taobao solution.
For Chinese malls, offering these might be cheaper than dealing with broken toilets and the never-ending battle against footprints on toilet seats…
By Manya Koetse
(follow on X, LinkedIn, or Instagram)
References:
Ali, Wajid, Dong-zi An, Ya-fei Yang, Bei-bei Cui, Jia-xin Ma, Hao Zhu, Ming Li, Xiao-Jun Ai, and Cheng Yan. 2022. “Comparing Bioaerosol Emission after Flushing in Squat and Bidet Toilets: Quantitative Microbial Risk Assessment for Defecation and Hand Washing Postures.” Building and Environment 221: 109284. https://doi.org/10.1016/j.buildenv.2022.109284.
Bhattacharya, Sudip, Vijay Kumar Chattu, and Amarjeet Singh. 2019. “Health Promotion and Prevention of Bowel Disorders Through Toilet Designs: A Myth or Reality?” Journal of Education and Health Promotion 8 (40). https://doi.org/10.4103/jehp.jehp_198_18.
Cao, Jingrui 曹晶瑞, and Tian Jiexiong 田杰雄. 2025. “城市微调查|商场女卫生间,坐厕为何频频变“蹲坑”? [In Shopping Mall Women’s Restrooms, Why Do Sitting Toilets Frequently Turn into ‘Squat Toilets’?]” Beijing News, March 20. https://weibo.com/ttarticle/p/show?id=2309405146044773302810. Accessed March 19, 2025.
Cheng, Shikun, Zifu Li, Sayed Mohammad Nazim Uddin, Heinz-Peter Mang, Xiaoqin Zhou, Jian Zhang, Lei Zheng, and Lingling Zhang. 2018. “Toilet Revolution in China.” Journal of Environmental Management 216: 347–356. https://doi.org/10.1016/j.jenvman.2017.09.043.
Dai, Wangyun. 2018. “Seats, Squats, and Leaves: A Brief History of Chinese Toilets.” Sixth Tone, January 13. https://www.sixthtone.com/news/1001550. Accessed March 22, 2025.
Li, Jinzao. 2015. “Toilet Revolution for Tourism Evolution.” China Daily, April 7. https://europe.chinadaily.com.cn/opinion/2015-04/07/content_20012249_2.htm. Accessed March 22, 2025.
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benny ferdy malonda
June 30, 2016 at 10:27 am
Hi, Dr Pei,
Firstly greet from me. I wonna know whether you are a mediacal anthropologist and medical doctor.
Actually i am interested in your paper above, thtat related to health and mediacal science, however because
you write about habit and culture related to health, that is an mediacal anthropology theory. But, of course
you write an interesting paper as research result
Best regards, benny