If you have hearburn or acid reflux especially at night this wedge really helps. Pillows piled up are worse for your reflux because it puts your neck in an odd position. I chose the firm support as I didn't want it to squish down too much. I find it comfortable and it only took a couple of nights to get used to it. But then I was used to sleeping in a recliner sometimes because of the reflux. After 10 years of PPI's I am glad to be off them. Tums and this wedge now does the trick if I need it. Wish I would have gotten one years ago.