I really researched all of the options out there for getting an incline pillow and this one lives up to what everyone was saying about comfort. It's got a nice gradual slope that hits me at about mid-back. It's also a very wide wedge, so there's some extra room on the sides. Sometimes, I flip the wedge up on it's end and use it to sit up in bed and read. It feels extra good with a smaller lumber pillow with the wedge and then also a pillow under the knees --- ahhh, so comfortable! It was great for recovering from surgery, which is why I bought it in the first place. So far, I have also not had any problems with my scapula that tends to get jacked up on a fairly regular basis after sleeping "wrong". the only thing I'm a little worried about is how durable the zip off cover will be over time. My 8 year old daughter liked it so much, she asked for one of her very own as a birthday gift, so I'm getting one for her and another for my husband.