It is technically a good pillow if you don't move around in bed. If you have back problems and need to move the pillow, it's really heavy and it takes strength to move the pillow over you. While it is too big, one might be able to get over that if it wasn't also heavy. But i think it might cause more harm than good. Needless to say it also takes up a lot of room in the bed. It's also an unusual size as i can't seem to find a cover for it that is to size.