I love the pillow. The only downside for me is that it could be just a few inches higher at the top. But besides that, it is exactly what I needed. I do use a regular bed pillow with it to watch TV so that my head is up high enough, but I do not sleep with the regular bed pillow. It is just firm enough without being too firm like my other wedge. I get a good night's sleep and do not wake up with a neck or back ache. Anyone with neck or back pain would benefit from this pillow.