This pillow is the worst, most uncomfortable pillow I have ever tried. No matter how much filling I take out of the inside shell, the quilted cover makes it a really tall pillow, and my neck is always at a steep angle. I wake up every day with a sore neck and have a really hard time falling asleep. The design seems like a unique and helpful idea, but once you open the shell, the filling goes everywhere and sticks to everything. I have tried for over 45 days to try to make this pillow work and have given it a fair shot. Would not recommend.