I ordered this pillow to replace the 8 pillows I had to arrange every night in bed to get comfortable because of my Arthritis and Fibromyalgia. I did read all the reviews, had a open mind and was ready to review this pillow. It is indeed big, but I don't fit in it like the woman on the photo fits in it. I'm a voluptous woman and am almost 6 feet, so I'm big. The pillow is a bit stiff when you start using it, but during the night it kind of flats out in the middle where you're sleeping on it. I have to re-adjust it several times during the night. I was hoping for good back support while my arms would also be supported at the other side. That doesn't happen for me but that might have to do with my size. There are 2 things that disappointed me, the quality of the fabric is really rough, and there are no shams available. I cut open a king size sham and pulled that over the pillow somewhere near the middle where I can lay my head on. They other thing is the chemical smell that still seem to linger after the 3 weeks that I have the pillow. Overall I wouldn't buy it again but would recommend it so a smaller friend.