Really great for the price. It is my first wedge pillow, and I have seen a significant improvement in my acid reflux/GERD issues. I have a tendency to sleep on my stomach, which made the reflux problems much worse. The wedge for the most part keeps me from rolling over on my stomach. It takes a few nights to get used to, but I am not taking Omeprazole every day anymore, which really adds up ($). The wedge does not seem like it will last much more than 6 months, but at this price, it is still cheaper and more effective than Omeprazole (even on sale is $$$ for month supply), in my experience. I have been using it for about 2 months now.