I have an old Ford E250 extended cargo van, standard height back in 2000 when it was made. It doesn't bother me that I can't stand up in it, if I'm inside I'm sitting on the bed or laying down, and I sit on the bed to get dressed. I shower at the gym and work 6 days a week so I'm not hanging around inside a lot. But I have a stove and oven and in the rare occasion I cook or bake, I usually just sit on the floor or a bucket. I like to play guitar and I do that sitting on the bed. If I'm watching Netflix (on my phone, no computer ATM) I'm usually laying on my stomach like a fat slob, on my very comfortable bed lol. Honestly I think most people spend indoor time in a regular house mostly sitting or lounging, with the exception of cooking and getting dressed. Maybe if I wasn't working and had more van time I would notice it more, but for me the low roof is a non-issue. Budget had a LOT to do with it, I bought the van for only two grand and it only needed $500 in repairs, that was ALL the money I had so I guess it worked out. A high top wasn't an option and I knew I wouldn't need it. I absolutely LOVE Vanessa. Everything about her including the manual roll up windows, no windows in sides and back, and low roof. A cheaper van is less noticable and I don't have to worry about blacking out back windows. She runs great and had very low mileage for a 20 year old work vehicle (under 100K at time of purchase). Takeaway is, you have to consider your life and personal situation and figure out what's important for you. Medical condition and needing to stay inside the van most of the time vs. working 50 hours a week then spending time at the MMA gym or with friends in evenings, very different situations. Everyone's VanLife journey is unique. You've got SOME idea what you can handle and what you'll be comfortable with. Just go from there.