I had foot surgery yesterday, this leg elevation pillow is working really great. It's the correct height for my heart and the doctor asked me to not put the heel down on anything so with that very top pad I'm able to adjust it so it hits my ankle so my heels are free floating, I would recommend this for anyone having foot surgery. The only thing I would change on it would be the material. It's too slippery and the pillow slide around even though they have those little dots, they don’t work, the material has frayed or pulled a little bit from my cast shoe