• The great bidet takeover has reached the workplace.
• White-collar workers are bartering with their bosses and weighing job offers over bidet access.
• "It's the superior way to live," one said.

Seungmin Hong felt he had two options: Stay at Tesla or have a clean tush.

After finishing an engineering internship at the automotive giant last year, the University of Waterloo student was weighing whether to stick around or accept a job offer from much smaller Simbe Robotics.

During Hong's final interview at Simbe's San Francisco office, he asked to use the restroom, and there it was: a glistening, inviting bidet.

"That cemented in my mind: 'Yeah, this company actually cares about their employees,'" said Hong, who grew up with a bidet in the bathroom of his childhood home. He took the job.

Move over espresso machines, ping-pong tables, and nap pods. For workers like Hong, the humble bidet is the ultimate job perk.

In recent years, the hygiene-friendly fixtures have gone from novelty to must-have for many US households. Toto, one of the biggest manufacturers in the space, said cumulative global sales of its Washlet bidets surpassed 70 million units last year, up from 50 million in 2019. High-profile fans include Dodgers pitcher Shohei Ohtani, actor Janelle James, and New York mayor Zohran Mamdani.

Now, some devotees are pushing to make bidets a standard in offices. Once you get used to one at home, they say, going bidet-less at work is a pain in the rear.

Michael Fiore used to sometimes get about halfway through his commute, then turn around and drive back home just so he could use the bidet in his bathroom. About a year ago, he had an epiphany: Why not install a bidet at work, too?

So he did.

"It's been a total game changer," said Fiore, president of Smith's Gardentown, a retail garden center in Wichita Falls, Texas. "It's the superior way to live."

There's just one wrinkle. Employees who were accustomed to using the restrooms available to shoppers have started coming to what Fiore jokingly calls the "executive" bathroom, which is reserved for staff. It houses one bidet-equipped toilet, meaning he now often has to wait to use it himself.

"Word has spread," he said.

Persuading the boss

This past summer, Cynthia Howard asked her boss to install a bidet in the single-seat restroom she shares with about a dozen of her colleagues. The fulfillment specialist at Swifthouse, a logistics company outside Philadelphia, argued it would reduce toilet paper costs, cut employees' restroom time, and improve morale.

Swifthouse's founder and CEO, Dave Harriger, said the proposal persuaded him to order a $60 bidet attachment that same day. He said he's pleased that Howard and other employees like it, though he's not a convert himself.

"I used it once. I yelped and don't know if I'll use it again," he said. "It's cold water on your butt."

Pricier bidet models that sell for thousands of dollars apiece offer warm-water sprays, air dryers, deodorizers, and even Bluetooth speakers.

Not every worker is comfortable asking their boss to install the devices in the office. To help those folks out, Jonathan Brown, a data scientist in Orange County, California, launched buttstuff.work earlier this year. The site lets employees register their interest in having bidets at work without directly approaching management.

Brown said he has long wondered why Silicon Valley workplaces offer perks like beer taps and catered lunches but not bidets. He plans to share the data his site collects with bidet manufacturers to help them find potential customers. So far, Brown said, about a dozen people, mostly from small businesses and universities, have signed up. His only promotion has been a post on Reddit.

"People don't love talking about bathroom stuff at work," said Brown.

The bidet goes to work

Bidet makers say interest has surged since what Bill Strang, president of corporate strategy at Toto, called "the great toilet paper panic of 2020," when pandemic shortages sent Americans searching for alternatives.

Strang and Justin Allen, CEO of Tushy, another bidet maker, said workplaces are a relatively small but growing part of the bidet business. Installing the devices in office restrooms can be challenging, as some require plumbing modifications, code compliance, and a nearby electrical outlet.

Allen sees the demand firsthand. The bidets in Tushy's shared office restroom in Brooklyn, New York, are a draw for employees of neighboring companies, he said, adding that a FedEx driver regularly stops by during his route to use the facilities.

Cushy tech companies have long dotted their stalls with bidets. Business Insider spoke with workers who spotted them years ago at some Google and Microsoft offices. Now, with awareness and interest spreading, some workplace observers say what was once a nice-to-have perk could become a competitive advantage for employers well beyond Silicon Valley.

A recruiting tool

Robert Hatta, an executive recruiter and talent consultant in Columbus, Ohio, thinks employers pushing return-to-office mandates would have a much easier time attracting and retaining talent by investing in the fixtures.

In a LinkedIn post that drew nearly 150 comments last year, Hatta argued that flimsy toilet paper and a lack of privacy can make office life less appealing. His prescription? Sound-insulated, well-ventilated stalls, preferably equipped with bidets.

"It's about respecting people's dignity," Hatta told Business Insider. Going to the bathroom "is an important part of the workday."

The state of a workplace's facilities can reveal a lot about its culture, said Lou Downe, director of the School of Good Services, a UK-based provider of leadership training. Details such as free menstrual products, well-maintained soap dispensers, and bidets can offer clues about how much thought an employer puts into its workers' comfort, they said.

Hong, the bidet-loving Tesla alum, has since left Simbe to build his own startup, Simantic. While the company goes through Y Combinator, he and his cofounder are shacking up in an Airbnb. No modifications are allowed, so no bidets.

Once Simantic raises its seed round, Hong said he and his cofounder plan to rent some office space. He knows what their first purchase will be.

After Bryce Ramsey was diagnosed with stage 3 colon cancer at 33, she learned another piece of shocking news: She had a genetically high chance of developing it from the very beginning.

Ramsey tested positive for Lynch syndrome, a silent, inherited condition that heightened her lifetime risk of being diagnosed with colorectal cancer by up to 56% for her variant. It also put her at greater risk of developing ovarian, uterine, stomach, pancreatic, and other forms of cancer.

Before she learned she had Lynch, Ramsey urged her relatives to also get screened for colon cancer. Since then, her father, brother, and aunt have all been diagnosed with various stages of colon cancer. Like Ramsey, her aunt also tested positive for Lynch.

"I was the whistleblower," Ramsey, 40, based in Mississippi, told Business Insider. Ramsey now wants her two young sons to test for Lynch once they're in their early 20s, the recommended starting age for her specific Lynch mutation.

Like most genetic testing, Lynch syndrome testing is relatively quick, cheap, and non-invasive. It involves a saliva test, a cheek swab, or a blood test, with the latter having the least room for error.

Still, it hasn't caught on: About 1 in 279 Americans (1.2 million people) are estimated to have Lynch syndrome, including between 3 to 5% colon cancer patients. Yet an estimated 95% of Americans with Lynch syndrome have no idea they have it.

All the while, cases of colon, breast, uterine, and pancreatic cancers are rising in young people, with colon cancer the deadliest cancer for adults under 50. "If you don't know, then you can't get help," Ramsey said, including earlier screenings or preventive measures such as hysterectomies.

"Ignorance is not always bliss."

The 'lowest hanging fruit' for cutting down cancer risk

Some experts view broader Lynch syndrome testing as a way to get more people screened for cancer before symptoms arise — and a way to potentially help entire families better understand their cancer risks.

Like Ramsey, the majority of people diagnosed with Lynch syndrome only get screened after they have cancer. In the US, the CDC's general guidelines recommend that colon and uterine cancer patients have tumors biopsied for Lynch, followed by Lynch syndrome screening for the patient if there are abnormal findings.

Some experts believe the lack of early genetic testing is a huge missed opportunity for reducing cancer risk. One 2021 study found that about 16.4% of 713 early-onset colorectal cancer cases could have been prevented if patients knew either their family history or had been genetically screened, and would have subsequently started getting colonoscopies sooner.

Lynch syndrome testing "has got so much potential, but it's not being utilized," Heather Hampel, a professor at City of Hope in California who specializes in clinical cancer genomics and Lynch syndrome, and a co-author of the study, told Business Insider.

While Lynch syndrome remains unknown to most Americans, some health systems are trying to expand testing to the broader population. Helix, a genetic screening company that first started out as a consumer DNA marketplace, started partnering with 17 health systems in 2021 as part of its "Population Genomics Initiative." The goal has been to introduce broader population-scale genomic programs that include testing for Lynch syndrome.

Dr. Cassie Hajek, the medical director of Helix, told Business Insider that most patients diagnosed with one of these hereditary conditions by Helix were completely taken aback by the news. "They're kind of operating on the assumption that their risk is just as it is in the general population, but in fact, it's significantly elevated," she said. "The whole goal is to identify these patients hiding in plain sight."

By knowing their genetic predispositions for cancer, they can both more easily start earlier cancer screenings and also inform their family members of their potential genetic risks.

Hampel noted that lowering overall cancer rates is complicated. We still don't know why colon cancer cases are rising so rapidly among young people, and lifestyle factors like sedentary routines and diets high in ultra-processed foods are far more difficult to control for.

"If the lowest-hanging fruit is family history and gene testing, and we can't even prevent those," Hampel said, "how are we ever going to prevent things where we need people to make lifestyle or behavioral changes?"

The ripple effects for families

Michelle York was 33 when she first heard of Lynch syndrome.

Up until that point, all she'd known was that her mom's side of the family had a long cancer history. Her great-grandmother died from colon cancer. Her grandfather had stomach and brain cancer. Her great-aunts died from liver, ovarian, and breast cancer, respectively. Her mother's cousin died from pancreatic cancer.

York's mother, a nurse at the time, had come across the term through her work. She tested positive for Lynch, along with York, her two siblings, aunt, uncle, and cousin.

At first, the news caused some anxiety. "Does this mean I'm going to get cancer at a young age?" York, 43 and based in Los Angeles, told Business Insider. "Does this mean every time I don't feel well, I'm going to immediately think I have cancer?"

However, once York and her family started getting routine cancer screenings, including annual colonoscopies, they felt more reassured than afraid, because they knew they could catch cancer early. York's mother had multiple precancerous polyps removed.

"None of us have had cancer yet, but we've had lots of scares," York said. She also wants her kids, ages 17 and 14, to test once they're older.

York's mother triggered something called "cascade testing," in which other family members test for Lynch and can take preventive measures to reduce their cancer risk.

Dr. Sapna Syngal, the director of research at the division of cancer genetics and prevention at the Dana-Farber Cancer Institute in Boston and the founder of its Lynch Syndrome Center, sees cascade testing for Lynch as a "real opportunity" to lower cancer risk, she told Business Insider.

Particularly for young people, if they test positive for Lynch in their 20s and start getting cancer screenings, "there's a really, really good chance that you could prevent that cancer by taking out polyps earlier on," she said.

There are also financial benefits to knowing you have a genetic predisposition to cancer. While insurance coverage for Lynch-related cancer screenings can vary, Hajek said her patients typically have a more "straightforward" experience in getting otherwise expensive screenings like colonoscopies covered. York, for example, said her insurance covered her cancer screenings once she got her Lynch syndrome diagnosis.

Ultimately, Hajek said Lynch syndrome testing can help patients get more precise care than simply knowing they have a family history of cancer. Just as testing positive for Lynch can prompt someone to start cancer screenings sooner, testing negative can also relieve a person of anxiety about being at high risk of early-onset cancer and potentially call for less frequent cancer screenings than if they had Lynch.

York said she's ultimately grateful for finding out and knowing she can catch any early signs of cancer by starting annual screenings such as colonoscopies in her 30s — over a decade before the average-risk recommended screening age of 45. Both Ramsey and York also had hysterectomies and oophorectomies unrelated to cancer, which brought extra relief in also reducing their uterine and ovarian cancer risks to essentially zero.

"I think knowledge is power," York said. "Now, it almost feels comforting because I know that I started doing this young."

Lynch needs its Angelina Jolie

In 2013, Angelina Jolie revealed in a New York Times op-ed that she had tested positive for BRCA1, a gene that increases the risks of breast and ovarian cancer.

Her revelation — and subsequent operations to remove her breasts and ovaries — sparked an international drive to get tested for BRCA1/BRCA2. Years later, a study found that 15 business days after Jolie's op-ed went live, BRCA testing rose 64% in the US.

Over a decade later, researchers and patients are working to make Lynch syndrome screening similarly universal.

Getting every person screened comes with its own obstacles.

Lynch could be added to the list of genetic conditions screened for in newborn heel tests. However, critics of the idea believe it can create years of stress when the person with Lynch isn't recommended to start getting colonoscopies until they're in their early 20s.

Other routes, such as including Lynch syndrome testing when people join the military or go to college, would miss broad swaths of the population.

There's also the question of funding. Helix, for example, doesn't bill patients and instead relies on the participating health systems for financial support. Few hospital systems can afford to prioritize testing for a gene condition that impacts a small portion of the population.

Syngal said one immediate option for getting more people screened for Lynch is to follow York's route: consider getting tested if you have a family history of colon or other relevant cancers.

Since their diagnoses, Ramsey and York have tried to spread the word about Lynch syndrome testing. Ramsey is an official advocate for the non-profit Lynch Syndrome Awareness, while York, a full-time content creator, has shared her story on social media.

"It's scary when you first find out that you have a genetic mutation that predisposes you to cancer," York said. "But at the end of the day, knowing that and taking those precautions could ultimately save your life."