The size of this pillow is large enough not to roll off immediately and the slope is gradual enough to use a pillow. Though the foam is quite firm, it should help it hold up over time, it just needs to be broken in to be more comfortable. This pillow's height is just right to avoid nightly coughing spells from laying flat, so anyone with lung issues would definitely benefit from having this for flare up times! It's construction is top notch and one can make a pillowcase for it from a single/twin bed sheet!
- Would you recommend this to a friend? Yes