I think I was born on a latex "foam rubber pillow." One of my earliest memories is of me asking my mom if I could lay my head on her foam rubber pillow. Meaning could I lay my head in her lap. The things kids say! I am 61 now so that was eons ago. Most recently I had a contract with my daughter; every year for Christmas she would give me a new foam rubber pillow. That has stopped and I was never really fond of the last one she gave me. It was too dense and gave me a stiff neck so I reverted back to the prior year's pillow. Well I think that has been at least 10 years ago. So I have been trying to find a new one I like. Not an easy task! The first one I returned here for lack of substance and replaced it with this one. Thinking a medium density would be good. Well as another reviewer pointed out the pillow or the wrapping is not marked anywhere that it is a medium. So I would say it is just the luck of the draw as to what density you receive. This again is soft. The first 2 nights I slept on it I pitched it out of bed and found it on the floor in the morning. I am going to keep it but probably going to go back to the old standby until I have time to get up close and personal with a foam rubber pillow.