I bought two of these down pillows in medium firmness (just right for my small head and neck) and so far I love them. You can tell right away that they're quality pillows because they come with a sturdy, washable, zipped case that protects the pillow and prevents the feathers from sticking out; the number one problem with feather pillows. The medium is soft enough to cushion your head, but firm enough not to go flat when you sleep on it. It's just right for me and I'm very pleased with my purchase. Of course it does need fluffing from time to time, but that's always the case with down pillows. If you're into down pillows and you don't like "down alternative" I highly recommend this pillow. It's worth the little bit extra money for a quality product. I'm sure mine will last for years.