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The mattress has to be lifted during the slide-in procedure then it rests 6" on the top of the dresser; this procedure has not been a big deal.
When the slide-out is extended out their is still plenty of walking room between the dresser and the mattress - in fact we have dog steps at the end of the bed and still have room to walk.
We now have sheets, comforters, etc. that fit a full gueen size bed.
Good luck in your decision .... Don
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