Be prepared to air it out, fabreeze it if needed just like any other feather or down product. I have back problems AND insomnia issues and this topper has made a huge difference in how I sleep. Expect to have to fluff this topper ATLEAST once a week, expect to have to fluff any topper you buy atleast once a week. If you are unable to do so I would look into buying a non feather/down topper. I own both types and I can honestly say the feather/down best suits me, but the alternative is not bad. I currently have my mattress protector (baby sometimes sleep in bed) on top of my topper so I cannot say I get full effect, but the fact that it is so thick, it still provides ample of comfort. I would recommend buying a cover for it so you can remove and wash it to keep it clean. When fluffing try not to grab just the top and shake, some people were "surprised" that it ripped at the seams when fluffing this way. I have had no issues with bare spots, poking feathers or escaping down and have had my topper for about a month now. I ordered a queen size for my queen bed and it fits perfectly. Great price, great quality, great comfort.