I have severe neck and spine pain for which I have to take physiotherapy sessions. Even a single night of wrongly positioned sleep would cause my pain grow worse in the morning. This pillow didnt just help me position my head correctly but also helped me sleep like a carefree child in the most comforting sleep ever. When it first arrived it was compressed in a plastic wrap but just after opening it swelled to the shape and size as shown in the picture. The pillow also has a thin covering stitched to it. It looks and FEELS like marshmallow. Worth the price. Just go for it.