How does it stay in place is there a way to secure it other than putting it under the bottom sheet ?

I don’t think there’s a way to secure it without putting it under the fitted sheet. Maybe you could put it over the sheet using strong double sided tape or something that would secure it, but it works well going under the sheet. It seems to stay in place.

Can you please tell me if this product works with adjustable beds? Thank You Lisa

Yes, it is flexible and bends with the bed.

Would this work if placed on top of the sheet?

Yes it should, how well I never tried. I can say I was skeptical of the idea but my wife who uses it under the sheet can't be happier. I was also concerned that putting it under the sheet was not going to look or feel right...turns out it easily goes under the sheet taking up a minimum amount of space with almost no interference when sleeping. This product works VERY well and I woul recommend to anyone with a problem of rolling out of bed. Been using for about 2 mo with zero incidences or complaints. *****

Brand	BANBALOO
Size	Classic
Colour	Blue
Style	Portable
Product Dimensions	19.1W x 13.5H Centimeters
Product Care Instructions	Machine Wash
Adjustable Length	Yes
Age Range (Description)	Adult
Manufacturer	BANBALOO
UPC	703158223405
Country of Origin	USA
ASIN	B07XJLDBFH

BANBALOO | Bed Rails for Elderly Adults Safety | Bed Restraints | Bed Guard Rails for Adults | Bed Bars for Seniors | Bed Rail for King, Queen, Twin, Full Size Bed | Bed Rail for Adjustable Bed

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