This is by far the best pillow I have used. In the past i have used buckwheat hull [pillows with some success to alleviate neck & shoulder pain. They had deteriorated to the point that they were no longer effective & I ran across this Snow Bean Pillow in my search for some type of replacement. Now I had never heard of "snow beans" & at first the idea of polystyrene pellets wasn't exactly thrilling... beanbag chairs came to mind, but then i read ALL of the reviews & started to think this might work. I came to the conclusion that most folks who complained about it probably hadn't taken the time to find a big enough pillow case for it, whilst the people who liked it REALLY liked it! I have had the pillow for nearly a month, in fact due to a death in the family I didn't get to use it to sleep in my own bed for several weeks. First off, the texture of it is amazing, the pellets are so tiny they really do have a wonderful snowy texture. compared to the buckwheat hulls, they offer similar support without the crunchiness. sleeping in a series of strange beds, this pillow worked like a charm. I did modify a ultra-suede sham by removing the row of stitching around the edges to create a pillowcase that is both large enough & has some give, which is the secret to this pillow. In order for it to function at it's best, it cannot be confined by too small of a case. The sectioning creates a slight valley to nest my head & neck and I have decreased my arm & shoulder pain drastically as a result of sleeping with the Snow Bean pillow.I was also concerned that it might be too warm, i tend towards more natural fibers & am at an age where it is very easy to become hot & overheated. I am happy to say that this is not the case, there is plenty of air circulation & I an blissfully comfy over the course of the night, even when the rest of the bed gets to feeling too warm & I kick the covers off... just one less hassle to deal with. I am no longer tossing & turning in agony all night long. I seem to fall asleep the moment my head hits this pillow & while I may change position once or twice during the night, it is always with a sense of pleasure that I have found a reliable source of comfort finally. Thank You Overstock!!! The overall quality of the pillow is outstanding, it is plenty big, but not too big or thick, and the quality of workmanship & materials is more than I expected. YAY! I LOVE MY PILLOW!! ! smooch. Auntie Hattie.