I have been in a series of accidents, the worst ending me up on my back and out of work for 3 months. The worst of it all, 14 years later my neck is not holding up so well. The pillow is great support for my neck for about 4 months. After then it starts to lose its form and support. If the neck part would stay formed like that forever, it would be fantastic. Other then that, the pillow is worth it.