Relative to the design and strength level found in professional balls used by physical therapists and high end gyms, for me this was the cost effective option. I looked at higher pressure rated balls; did not have a need. 4 stars because there are better balls, 4 stars because this one is very good for the $. I inflated it with a foot pump at $8.72, never could figure how to use my auto tire pump, connections didn't work despite the info that it should. I wrote this to advise I inflated the ball so it was hard - 23 diameter. I doubt it could be inflated to 26, would require stretching the membrane but it is not high strength. This is not a ball that has the strength to be balanced on one foot at a time, or jumping on it. For me, this was fine. A happy note was the plug sealed effectively with no leaking (so far, after a couple weeks).
Rating: [4 of 5 Stars!]