THIS IS THE BASIC KNEELER WITHOUT ANY OPTIONS ADDED. AT THIS HEIGHT THE ELBOW REST IS 39" FROM THE GROUND. IF YOU WISH TO ADD OPTIONS, PLEASE FOLLOW THE LINKS THRU ALL THE OPTION PAGES. IF YOU WANT AN OPTION, JUST ENTER THE NUMBER 1 IN THE QTY. BOX. IF YOU DON'T WANT ANY OPTIONS ON THAT PAGE, GO ON TO THE NEXT SET OF OPTIONS BY THE LINK. WHEN YOU ARE DONE, YOUR SHOPPING CART WILL REFLECT YOUR BASIC KNEELER IN THE WOOD AND SIZE YOU HAVE CHOSEN AND ANY OPTIONS YOU HAVE ADDED.