The pillows are thinner than most, but that helps for back sleepers. I read some of the negative reviews, but decided that these were positives for me. I like the lower bulk of the pillows. However, they have a prominent waffle design that is less desirable, and as one person stated, they come with absolutely no cover. It would help to have a quilted pillow cover in addition to the normal pillowcase to offset the feeling of the waffle. Other than that, I really like them. They probably wouldn't work well for shams, as they are thinner, and would not fill out the sham. But for sleeping, they are really good (except for the prominent waffle pattern).