........in place of a regular head.
Either way, I think they are a plus. If you hav ONLY a hand held, you can always install another hook up high to make it a regular shower. I've seen some units that have a sliding adjustable pole for variable use.
We installed one at waist height in our new shower to give the dog baths. We have a regular head and rain head so we only installed the hand unit for the dog. An added bonus is it works great for cleaning the shower too.
We are going to be building out our neighbor's shower installing two regular his and hers heads and a hand held to be used as a mini shower for their now 2 year old when he gets a little older (and for their dog).
Here's ours. We kinda went all out because we did it ourselves. It was my plumbing opus:
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