In the past, when we've requested a first floor for medical reasons at OKW, we were told unless we specifically needed/requested a handicap room, there was no guarantee of being assigned a first floor. One trip, we were assigned to a second floor...which didn't work at all for my husband and his
ECV. There were drawbacks to using the handicapped room given his condition which is why we didn't go that route. We much prefer staying at resorts where we don't need to worry about being on the first floor and was one of the reasons we sold our DVC OKW contract. When we purchased, we were young.... never thought about disease or old age limiting our ability to climb stairs!