I have spent a long time searching for the perfect pillow as i have osteoarthritis of the spine and need support for my spine but also didn't want a pillow that feels like a rock to sleep on, so i went ahead and purchased one of these and i have to say it's one of the best pillows i have ever had, it took a couple of nights to settle in but now its so comfortable and im sleeping so much better from the support it gives, I've tried memory foam pillows but this pillow beats them hands down, I've had this for over a month now and usually pillows start to flatten but this so far is keeping its shape, it also fits standard pillow cases as well as the Oxford ones, very happy customer well done dreams,thank you for a fantastic nights sleep..