Doesn’t have a whole lot of bottom cushionsupport for it being orthopedic. My dog is 9 years old and I have dog beds all around my home for him so he isn’t laying on bare floor having prior hip issues. He never chooses this bed, and would rather sleep on my bare bedroom carpet than this bed. I specifically left this in the bedroom so it has the extra cushion of the carpet for support but he still doesn’t choose to lay on it.