We purchased a "real" cottage in the spring, fully off the grid and about half an hour from anything resembling retail. "Real" also means no running hot water, no flush toilet, no phone or TV and no shower. Funny, no one really seems to be too much worse for wear.
Having said that, we're building an outdoor shower just in case friends and family aren't scared off by the outhouse and show up for a visit someday. We don't really want to know what we smell like.