I’m not 100 sure on this yet. It’s SUPER firm, which might be good. I bought this for an upcoming first rib removal surgery and I’ll have 6 large incisions down my ribs. I most definitely had to replace the stuffing in the headrest portion of it  with my coop pillow filling because there were cardboard pieces in the one it came with, making it very uncomfortable. I’ve only had it 2 days now, so I’m hoping the horrible smell dies down within the next 3 weeks. Might consider opening it up and removing some of the filler and stitching it back together. Wish it came in more colors than white, but I appreciate that you can take the cover off to bleach it.  It only has one spot to  attach to the headrest.