I am not at all impressed with this pillow, especially for the expensive price. The pillow is extremely dense and filled with tiny cut up foam pieces. I have not had a good night’s sleep since using it and at times wake up with my head hurting which seems to be because it is against the pillow. I tried taking more foam out (which is a pain and a mess!). We will see if this helps. I have also woken up sweaty so the cooling claim of the pillow cover does not seem to work for me. I am definitely disappointed in the pillow and in myself for not using it quickly enough so I could return it.