I just received this pillow yesterday and tried it for the first time last night, so far I think it's pretty good. It is a really large pillow and finding pillow cases will be a problem. The pillow does come with a pillow case on it, not as soft as I would like, but it will do for now. I found sleeping on my side to be more comfortable, it kept my head/neck and shoulder in better alignment. It is higher and more dense than I expected, but I'm sure in time that will break down a bit. If you are having trouble getting comfortable in your own bed because of your pillows and sleep on your side or back, I think you might want to give it a try.