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They don't have to sit. I walk and stretch all the time on long flights.

Ia it really going to matter? 20 hours on one plane or 24-26 with a stop and disembarking into an airport lounge?

I would be more worried about blood clots and other physical complications from the terrible seats.

The new Qantas fitouts are pretty comfy on the long distance routes.

Not in economy. They're putting 9 across in the 787, which was designed for 8 across. Same as most airlines, but wouldn't call it comfy.

I get a cold-type virus every single time I fly long haul :(