Abstract: A sitz bath appliance for use with a hand held bidet is disclosed which enables conventional cleaning with the hand held bidet followed by closing of a drain with medicated, sanitary, constant temperature soaking. The sitz bath includes a circular rim configured on the lower surface for support on the upper rim of a toilet bowl with the seat up and configured on the upper surface as a seat. The supported sitz bath bowl is provided with overflow ports to maintain a constant level of liquid for soaking. The front of the bowl is configured with an integral molded channel in a raised rim portion to permit a hand held bidet to be inserted between the spread thighs of a user and thereafter used under the seated patient.