I have the head of my bed elevated at home, so I bought this pillow to prevent reflux when I am traveling. It's not comfortable, since I'd rather sleep on my side, but it works. The pillow itself is exactly as described. A week of use left only a minor dent in the foam. The major drawbacks of using it for travel rather than at home are the pillow's size, and the lack of pillowcases for it. I'm storing and packing the pillow in the plastic bag it shipped in, since I don't have any other way of keeping it clean, and I drape a towel over it for sleeping.