These were pillow purchase number 4 and they are the first pillows to last more than 1 night!  They are soft, yet firm. The gel makes them very comfortable. I'm a side sleeper so I do feel like they could hold their thickness a little better (i.e. be a little more firm) but they aren't bad at all. I wouldn't give them an A+ but don't plan on replacing them yet so I would give them an A-. My neck pain seems to be a little better.