I have had trouble with my neck forever. I am also not one of those who can sleep with a ton of pillows, so if you want a big pillow - this is not it. What I love is that it has areas with recessess to accomodate the head. The end result is that the head and neck are aligned so that the nose is in the "sniff" position. This is ideal for nose breathers like me. The pillow isnt the greatest for side sleeping, but that is fine - I have a side pillow for that. I am otherwise really happy with this pillow!