Based on the other users excellent reviews and the great sale price I purchased this pad as an alternative to the pads that are hundreds of dollars. Of course you cant compare them apples to apples. However, now that I have the pad I dont understand how others have given such great reviews on this pad. "You get what you pay for!" To break it down the pad is comfortable and makes a small difference. The issue is that the majority of the padding is around the edges as others have mentioned. The middle of the pad, where people actually sleep, is very slim on padding. Ultimately this is a padded mattress cover with puffy borders. But for the price it still deserves a few stars.