The quality of the tissue itself is fine. It's soft enough, and made softer by the fact that it's made with recycled paper. Yet I have to echo the accessibility complaint. Upon opening, the tissues are burrowed into the box in a tight ball, like a small mammal fearing for its life. There's no edge to loosen or open this paper stone, and one has to rip a great chunk from the ball to get it started, shredding several of the tissues in the act. After the initial ..