I bought this pillow to help with my neck pain. This pillow took some getting used to.  I found myself tossing and turning since i'm used to having cushy support over the whole pillow, instead of a "hole" in the middle. I would end up sleeping wrong on the pillow because of all that turning I did and still have neck pain.  As time went along and I got used to the pillow, I'm able to keep my head where it needs to be and I don't have anymore neck pain.