There's several different piston kits out there. You'll have to be more specific about which one you're looking at, but most of the companies I have seen are all using M4 handguards with the exception of some daniel defense forends I think that have been milled internally to accept them.
The whole "not compatible with railed floater thing" has been what's kept me from buying one. Now I've lost interest in them. I just ended up getting an AK and have dismissed the piston conversions entirely.
It wasn't a bad decision. Now I have something in a bigger caliber and I haven't lost any sleep over it yet.