The pillow is super. The viscoelastic foam, adapts perfectly to my outline and supported my head. At first I was like soreness at the changeover. After a few hours I hurt my neck and I had no idea how to do. But this was after 1-2 weeks.
The pillow came to vacuum packed. In my view, however, it is slightly larger than 40 cm. 50 is more like it, because my 40x80 cm Covers do not fit. but nevertheless it is a super pillow on which I like to sleep at night.