DR.LOMILOMI’s 510 KOA is the premium pick in our saddle stool comparison at $1122.19 — and it earns that price with the largest review base of any product we’ve covered, 338 ratings at 4.2★. This is also a genuinely mature listing, first available in 2018, not a newly-dropshipped product. Here’s whether the price is justified.
Quick take: Heavy-duty aluminium five-leg base, adjustable backrest that locks or swings freely, CFC-free molded foam seat, commercial-grade pneumatic lift (21″-26″ height), quiet PU casters, 360° swivel. Weight capacity is listed as 400 lbs on this listing, though DR.LOMILOMI’s own product description elsewhere states 500 lbs — worth confirming directly with the seller if this matters for you. Reviews are strongly positive, with a genuinely reassuring pattern: multiple buyers reported minor defects (a faulty hydraulic cylinder, a cosmetically damaged backrest) that the seller resolved quickly via replacement parts rather than requiring a full return.
DR.LOMILOMI 510 KOA: quick specs
Build quality
The most telling pattern in these reviews isn’t the absence of defects — it’s how DR.LOMILOMI handled them. KLZ007 had a defective hydraulic cylinder and received a warranty replacement within days, calling the process “smoothly handled.” MJ Gu’s backrest arrived with a small cosmetic damage spot; rather than returning the entire chair, the seller sent a replacement part directly. That’s a meaningfully different experience from Giantex’s MB, who struggled to get any resolution for a faulty gas lift. Shan Medd, a dental hygienist of nearly five years, called the metal base “sturdy” and the ride “smooth & quiet,” and noted three of her colleagues asked for the purchase link after sitting in it for seconds.
Comfort and posture support
This is the strongest posture-outcome data point across our entire saddle stool comparison. Shan Medd reported daily lower and middle back pain and hip pain across three of her five years practicing dental hygiene — pain that “changed… to none at all” within two weeks of switching to this chair. She specifically praised the backrest’s range of motion (“bends very far back, and a good amount forward”) while flagging one design limitation: the seat itself doesn’t pivot forward or back independently of the base, unlike some competing designs. MJ Gu and Courtney Grau both mentioned an adjustment period of a few days before the saddle shape felt natural, after which both preferred it to their previous seating. Courtney’s one complaint: the minimum height wasn’t low enough for her specific tattooing setup, so she still switches to a lower stool occasionally.
Who is this best for?
This is the clearest “buy once, buy right” option in the comparison — professionals who sit for 6+ hours a day (dental hygienists, tattoo artists, massage therapists) are exactly the use case DR.LOMILOMI designed it for, and the review base backs that up with real, credible outcomes. It’s a much harder case to justify for casual or part-time desk use, where a $100-150 stool covers the same basics. Given the seller’s track record of fast defect resolution shown across multiple reviews, the premium price also seems to buy genuine after-sales support, not just materials.
DR.LOMILOMI Ergonomic Saddle Chair (510 KOA)
$1122.19 · Aluminium Frame · Adjustable Backrest
The most-reviewed stool in this entire comparison, with real professional-user outcomes and a seller that resolves defects fast
How does it compare to other backrest saddle stools?
Here’s how it stacks up against the other backrest saddle stools in our comparison:
Antlu Saddle Stool Chair with Back Support
$296.35 · Aluminium Frame · 319 reviews · 4.2★
A third of the price with a nearly identical review count and rating — the strongest value alternative if you don’t need DR.LOMILOMI’s specific track record.
Giantex Ergonomic Drafting Chair
$129.95 · Steel Frame · 9 reviews · 4.0★
A fraction of the price with real Australian reviews, but a fixed backrest and a much smaller, less proven review base.
Which should you buy?
- DR.LOMILOMIif you sit for 6+ hours a day and want the most-proven option, regardless of price.
- Antlunearly identical review credentials for a third of the price — the smarter buy for most people.
- Giantexthe budget entry point if a fixed backrest and a smaller review sample are acceptable trade-offs.
Our verdict
DR.LOMILOMI’s 510 KOA earns its premium price through the single best review base and after-sales track record in our entire saddle stool comparison — 338 ratings, real professional-user outcomes, and a seller that consistently ships replacement parts fast rather than making customers fight for a refund. That said, it’s genuinely hard to justify the $1122.19 price purely on comfort grounds when Antlu delivers a near-identical review profile for roughly a third of the cost. Buy this one specifically if you want the single most battle-tested option available and the price isn’t the deciding factor; otherwise, Antlu is the more rational choice.
Related reviews:
→ Antlu Saddle Stool Chair Review
→ Giantex Ergonomic Drafting Chair Review
→ FRNIAMC Saddle Stool Review
→ See the full saddle stool comparison table


