It is the first cushion of this kind, which I bought. So far, I am extremely pleased with the relief of neck, shoulder and back is very beneficial. The pillow adapts to perfectly. The cover is comfortable, no chemical odor is perceptible. I had not seen when purchasing that these pads have different widths - have as it were ordered by mistake a wider. This is highly recommended because you can thus turn around easily and the pad does not need to reposition. If the pillow holds now even longer, I would say that it's worth its price.