I know there has to be someone out there with a similar problem, I'm looking for suggestions on how to safely transfer a non-weight bearing student out of a wheelchair to sit on a toilet. This student has muscular dystrophy and can not bear weight or lock knees at all (we have a sit-to-stand lift, but can't use it with this student's ability). The student weighs over 90 lbs and is getting difficult to lift manually with a gait belt and 2 staff assist. We have an old mechanical/crank hoyer type lift, but the sling is an issue- how do we get the pull-up down once the sling is on? I have thought of using the hoyer to move the student to the flat cot, then rolling to remove the pants, then re-lifting to the toilet. This would be a long process if the urge to "go" is there (sometimes it is, sometimes it isn't). Help, what has worked for you in similar situations?