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Yes. The mattress will sag between the slats. An unsupported mattress will not only lose its integrity, it can cause problems with your back, not to mention your sleep. Mattress warrantees may also be voided if not supported by a proper foundation. Many people purchase platform beds for their low profile. If a mattress and foundation set makes the bed higher then desired, there are low profile foundations available to put under the mattress. If any foundation rises the mattress higher then desired, a plywood deck may be used. Be sure to check your manufacturer warrantee on the use of decking. If all the above fails, there are mattresses available that have a frame build into the bottom of the mattress. These mattresses are widely used for bunk beds in twin and full sizes. Other than low profile, the other reason people buy platform beds is because it saves money on box spring. before saying no, i would suggest you give it a try, see if there is a sagging problem or if you will have trouble sleeping at night. If none of that happens, then a box spring may not be needed. Of course, if you have the budget and don't mind spending another $300, then buying a matching box spring is always a good idea. I have found this blog about platform bed is useful, maybe you should keep track of it, it has a post just discussing the issue about box spring on a platform bed.

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