I was experiencing neck and back pain and saw this item. First, what an amusing design. Definately a conversation piece. I showed it to my co-workers and they all got a chuckle out if it. However, my intent was to see if it would benefit me in any way. Well it has. I sleep much better and my neck pain has subsided. I put a darker shirt over the pillow (lt blue gets dirty pretty fast). I am pleased with the purchase and would recommend it to a friend.