The pillow is nice, but I'm a petite woman, and the firmness/height combo is a little too high for me. It pushed my neck up at a slight angle that was enough to make sleeping uncomfortable and give me a slight pain in my neck during the day. I just got the medium density pillow instead, and based on one night of sleep so far, it's a better fit for me. My husband likes this firm density pillow just fine. The queen size is nice and large but still fit into a standard pillowcase.