This piillow took a couple of nights to get used to as it is quite hard, but I have noticed a substantial difference in my sleep pattern. I wake up far less as the pillow allows me to breath much easier and my wife tells me it all but eliminated my snoring. I also have noticed far less neck and shoulder pain. It supports my neck while sleeping on my back and takes pressure off my shoulders when sleeping on my side. I would recommend this product to anyone with sleeping problems. While it might not be for everyone, at this price, it is worth a shot.