On average, people use the restroom six times per day. Restrooms in a building largely reflect the design decisions you make. The purpose of this course is to make the case that a comprehensive design approach that integrates ADA design requirements, Universal Design strategies, and sustainable initiatives provides an inherently accessible and healthier restroom space for all users. "Total Design" encompasses all design practices that include a wide spectrum of usage for all people. Isolating these design concepts into labels or "specialties", prevent them from being incorporated into good design practices.