Cannot complain what-so-ever about this bed upon initial receipt. It is plush, padded and comfortable for my 30 lb Frenchie and 25 lb Boston Terrier. They each have multiple beds throughout the house, but we use two of these at their favorite windows. I typically use a doggy blanket on top for extra comfort, but more so because tossing the blankets in the wash every week is much easier than removing the cover on these beds... so I find they last a lot longer doing this instead. I cannot speak to longevity, but even if this bed lasts only a year or two, for the price I think it's well worth the expense for our fur-babies. I definitely recommend this bed; not sure that I would necessary consider it "orthopedic", but it's certainly a nice bed right out of the gate.