My daughter is a chronic migraine sufferer. We have tried everything from prescriptions to over-the-counter medicine and she has even had a surgery. I am not going to claim that this it took away the migraine but she has worn this during a migraine and it did bring her comfort. She really liked that she can have her hair pulled back and it went through the hole in the back instead of having to wear her hair down. The cold worked in helping alleviate the pain and discomfort she felt. The cap itself is made well and the gel insert packets freeze quickly and are made with good quality materials. This is definitely something I would suggest anyone with migraines try.