I have had this pillow a couple of weeks now.  I had been using one of the memory pillows that also has a "gel" pad, so this was somewhat of a transition.  First off, when you receive this pillow, let it air out a bit.  It has a 'stale' odor upon opening (not sure why!)…but, the casing around it is very nice, soft and removable, so good for washing.  Initially, to me, this pillow seemed pretty hard, but I do understand that memory foam pillows 'adjust' to your head/neck resting position.  It has gotten better, but if you are one of those people that loves soft pillows, this is not for you.  I like the pillow, and I seem to sleep good with it, but I am still adjusting to the height/firmness of it.  So, for now, I give it 4 stars…it is still a bit too firm for my tastes, but that may change over time.