Handcrafted by artisans right here in the USA. Why is it that recessed in the wall toilet paper holders don't actually recess? It's because of how they are made. Our unique recessed toilet paper holders FULLY recess into the wall with only the frame on the outside, which serves to cover up the rough edges of your wall opening. Additionally, we are the only manufacturer to raise the roller. Why is this important? When you put a new roll on the roller, the roll hangs down about 3/4 " because the core of the roll is bigger than the roller. That means that it usually drags on the bottom of the holder until you use some. We raise our rollers to account for that larger core. So even new rolls won't drag. And our holders are 7" high inside - big enough to handle ANY roll on the market today - even the huge Charmin Mega rolls and Costco rolls - with room to spare! Includes white plastic spring-loaded toilet paper roller, and space for a spare roll (not on a roller). Installation could not be easier! Just cut the opening in the drywall and use construction adhesive on the backside of the frame and push it in the wall. Measures 8.5"w x 16"h x 3.75"d. Holder measures 7"h x 5.5"w inside for the section which is on a roller. The spare roll cubby measures 5"h x 5.5"w. Your Rough opening needs to be 14 5/8"h x 7 1/8"w x 4"d. Solid pine, Unfinished.