I'm confused about other people complaining about size. The way they were speaking, I expected a mini pillow. This pillow fits in my standard pillow case exactly as my old standard pillow did. It's the perfect amount of firmness and softness in one. My head is cradled when I sleep on my back- something I haven't been able to do since I was a child. The pillow provides enough support that I am completely comfortable on my side as well. When I wake up in the morning, I have no neck pain. I am amazed and will be buying another so I can have matching pillows. After 20 years, I have relief! Wish I'd heard about this pillow sooner.