An apparatus for transferring to a commode or other seat is provided. Through the use of a transfer board that is both easily moveable between a storage position and in use position and readily stabilized, a user may independently, or with the assistance of a caregiver, be able to access a commode or other seat from a bed or wheelchair that is powered or manual and that is with or without an elevating seat or other position.

Implementations of a toilet seat system can include a raised toilet seat having a set of cavities formed therein, cavities in the set of cavities being configured to receive inserts, and a handrail including a rail and an insert that is releasably secured within a cavity of the set of cavities.