Thank you for your review, Ximena! The wall elbow seen in the photo is not included but is available for separate purchase as part number 50560-BL. In order to use a wall elbow and hand shower, you will either need to connect the hose directly to the shower arm or if you plan on using a shower head as well, you will need to use the diverting valve R11000 with a corresponding trim. For a 3-setting, shared position trim to match this model you will need to purchase and install T11859-BL along with the diverting valve. Alternatively, using a Shower Arm Diverter such as the 50650-RB will also allow you to use a shower head and this hand shower, however please know we do not offer these types of diverters in the Matte Black finish currently.
Best regards, Edward
Date published: 2019-06-15