It was quite interesting when I opened the package and unzipped the pillow itself to see the top layer of cotton in its own chamber while the memory foam was separated in the chamber underneath. Quite intelligent. I only wish the cotton layer was more intact, as it often separates causing you to fluff and fix the pillow on a daily basis.....but overall, I have had less neck and shoulder pain thanks to this pillow. It's exceptional for someone who tosses and turns (or how I say doing 360s) all night because it gives the softness but the support a person needs while sleeping in ANY position. I've tried the regular memory foam pillow and I find them extremely too firm. I've also tried the feather pillow and find them to have no support of the neck and shoulders. This might work great for someone else but if you're having the same problems I just mentioned, give this pillow a try. The price was also very reasonable.