It was not my cup of tea you really can't put your arm through it and sleep at the same time it needs to have a cutout so the shoulder can go into the pillow other wise it's like a pool arm floaty I have shoulder problems and thought this would be perfect for me but my head was almost on the bed after 5 nights I was always trying to fluff it up so I could get comfortable. Some people may love this pillow looks like it's high quality and good design but it's not for me