I suffer from very bad spinal problems, the main concern is getting the right pillow to sleep on. I honestly have some 18 different pillows in the house trying each ones to suit my neck. Fed up of changing pillows every three nights I decided to try the Croscill. It offers memory foam for stability plus the downy side too. It can be used memory side up ( as I did the first night ) or downy side with the memory foam on the mattress side. It has taken me four alternative nights to settle to the new pillow and what a difference it makes. I can now say I have found a pillow to suit my needs. Soft to my neck but firm underneath. Definately the correct pillow height for my neck to ensure a restful sleep. Another more expensive pillow I bought at the same time is not as comfortable as this one. I recommend anyone with spinal problems to try this one and experience the difference for themselves. Excellent quick service from the supplier too.