This is coming from a self-proclaimed pillow snobb. I absolutely love this pillow. I've paid $200+ for small pillows, & had to give them away because they weren't comfortable. I tend to sleep on my side or back. This pillow supports & easily transitions to both positions. I have a back & knee injury. I use the pillow differently than the picture. I put the opening at the top & use my regular pillow, so I can elevate my legs. The stuffing is the perfect fill/firmness for me. I'm 5'9 - the length is perfect. The pillow breathes well, & the cover is more of a cool, soft percale feel. Which is what I prefer. Did a lot of research before I purchased. I'm glad this is the one I chose. Again...Love it!