Pillow needs help from user to be sure head is in proper position. Trainer wheels would help. It helps control snoring ONLY IF user places head in exact position required. Since snorer in my family is 86 year old male with a stubborn streak, it does work on a "hit or miss" basis. An indentation for neck placement would help, I think. Placing a second pillow under the Snore no More pillow might be a workable option so head is properly elevated. I wouldn't necessarily recommend it to friend because our friends are all in the same age bracket and with similar traits.