Not a hassle to setup at all. Quick and easy. The only part is the belt gliding from side to side. Every now and then we have to stop and fix it. Besides that. Great machine. I used it for 10 min and it felt worked all over my body. It makes your muscles work harder because its manual. Better then a traditional treadmill. I recommend this to any one on a budget and needs a good workout. My family absolutely loved it.