i purchased this pillow because i often have back and neck issues from sitting at a desk for half of each day and not stretching as i should. i figured something like a memory-foam pillow would at least help keep my head and neck supported while i sleep, thus reducing the chance of an achy neck in the morning. i'd say this pillow does a little more than half the job i hoped it would (though i've only been using it for two weeks). it's taking my neck and back a little while to get used to it - even though it's really comfortable and really conforms to the shape of your head. it does provide support, but for me the best support is when i lye on the pillow vertically so a portion of it comes up under my upper back. it's not as good a Tempur-Pedic, but definitely worth less than half the cost. for someone who doesn't suffer from neck or back issues but just wants more support, i would say this pillow is perfect for that. it has a really nice texture and outer bamboo cover. it looks and feels expensive.