I am *thrilled* with this pillow. Since a spinal deformity, my life has been tsuris, no sleep, and an eternal quest for anything that will ease my neck and back pain. I received my pillow quite quickly, ripped it open like a kid on Christmas, lay on it. It's perfect. The neck roll is exactly what I need-not too hard, not too soft. Yes, I feel like Goldilocks. The picture here doesn't do it justice. It doesn't look like an egg crate. It's cute-but that's just aesthetics. For 4 months, I have been looking for something like this. The cover comes with directions, which is an appreciated touch. It has a cover-not a pillow case, per se, but it'll do. It's not about looks-it's designed for people with neck and back problems. I'm so happy with this purchase. I bought a U shaped pillow, and I so wanted it to help, but it just doesn't. Thank you!