The cis fusion admits two chair–chair conformers, related by simultaneous ring inversion. The bridgehead hydrogens remain cis, while their axial/equatorial descriptions exchange. In one fold the oxygen next to the fusion occupies the concave, inside position; in the other, the corresponding inside position is occupied by a methylene group. Both chair-only structures are shown in the lower panels of the dioxane diagram.
The O-inside chair–chair conformer is strongly favored. In the unfavorable fold, the inward methylene and its C–H bonds create close nonbonded contacts with the other ring, analogous to costly 1,3-diaxial/gauche contacts in cis-decalin. Placing oxygen in that location removes the corresponding carbon-bound hydrogens and reduces the obstruction. The comparison is between the two conformers of the same cis configuration; making the fusion trans would be a configurational change, not a chair flip. Nor is it appropriate to flatten both six-membered rings into regular hexagons, which would hide the decisive inside contacts.

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