The Milano Rise (Elevation) toilet with soft close seat has been designed to help you use your bathroom more easily. The toilet pan has a higher projection of 480mm. This puts less strain on your knees. This is a horizontal outlet toilet, which means the waste pipe goes straight out through the wall. With the addition of a simple adaptor you should be able to direct the waste to the right or left of this toilet. If you have any doubts, please contact a qualified plumber.