I bought this item for my husband. He was having neck pain, and pain in his shoulders, when getting up in the morning, and throughout the day. Once he started sleeping on this new pillow, we thought it would take his neck time to adjust to the newness. It didn’t. He has been sleeping with this new pillow from the beginning, and loves it. He doesn’t have any more neck pain, or shoulder pain when he sleeps, or gets up. It is the perfect gift.