This is the perfect choice for a back pain support pillow! With zippered access on the shell, the Husband Pillow is adjustable if you feel that is too firm, or not firm enough. Memory foam blend can be added to gain additional lumbar support.In the event, you do not like the memory foam shell, we offer a replacement with our fiber fill version. Additionally, all of our products are covered by a 101-day, free return, money back guarantee if you're not fully satisfied.