I was so excited to receive this pillow, I really needed an upgrade and this seemed to be it. However, this pillow is insanely dense, heavy, and overly firm. While it shows instructions on how to sleep with it firm (flat) /soft (on outside sides) /extra firm (folded in half), it is so tall/large that my head & neck were at such an awkward angle, I couldn't get comfortable. I ended up sleeping on just the bed with no pillow in the middle of the night. Perhaps for larger individuals or maybe to use as a body pillow, but this definitely did not work for me. 

Pros: Plush/Firm
Cons: Too large, bulky, overly firm