I have had this pillow just about 2 months. Unless you can sew, I would not recommend it. While it did help me sleep at first now it has become compressed and lumpy. Also, I have had to cover it with a regular pillowcase because the one it comes with has fallen apart. after two washings.The regular pillow case works okay but defeats the purpose of the shape of the pillow. It is a great idea for CPAP users but too bad it is poorly made. The manufacuter will not replace it and a new case cost over $20. I won't buy another.