I have GERD which usually causes me to wake up at least 5 times a night. After using this pillow, i sleep so much better. I only wake up about once a night and without a sore throat. Pillow is only a slight incline so it's still comfortable. You don't feel like you're sleeping upright. It fits under my fitted bed sheet and has a removable cover. One downside is that the pillow makes you warmer while sleeping. That's why it only gets 4 stars.