I ordered this after agonizing over which wedge pillow to choose. I had rotator cuff surgery and was miserable sleeping sitting on the couch, but no combination of pillows and bed was working. I was so nervous when this finally arrived, I slept on it for several nights still in its shipping plastic, terrified that it would not be right for me and I would be out the $40+ for nothing (I did not know what to make of the number of reviewers who found the same item either too firm or not firm enough). Turns out I needn't have worried -- it's just right. I put a single down pillow lengthwise on top of it, and am slowly edging towards the goal of sleeping through the night again. Couch sitting a thing of the past, thank God! A wonderful product, though the shipping was a bit on the slow slide (I think the Memorial Day holiday may have interfered somewhat with delivery).