My wife and I stopped at a roadside restaurant in northern Italy, kind of out in the sticks. I went into the men's room and just as I saw the "toilet" I heard my wife shrieking through the wall as she saw the same kind of toilet. The restroom was nice, pretty modern, clean, all tiled, but the toilet was simply a hole in the tiled floor with two larger foot-shaped tiles on either side of the hole in the floor.
Position your feet in the tiled foot-outlines and, well you know the rest... heheh