I have the pillow in size M now for about 2 months and was impressed from the start on the much better sleep on it. The pillow adjusts itself again and again the current situation on what I felt as comfortable with anyone yet another pillow. It is the first pillow, which my side sleeping (during pregnancy) can be pleasant as belly sleepers. As one of the pre-reviewers already wrote, helps the pillow to relieve pressure on your shoulders and thereby also prevent tensions. I need the pillow at last no longer repeatedly straighten at night to relieve the neck and shoulder part, thus increasing the quality of sleep improved significantly. However, it is viell. Difficult in advance to decide what size you need the cushion. Women are often cope with the S size. But that is dependent at home by the interaction with the rather soft or hard mattress. I have a medium-thick mattress (still rated as hardness 2) and feel it is not so well supported by a pillow in S as indicated by the in size M.