It's way better than the Equate brand that I used before this one arrived. It is rather complicated to figure out how to put it on, true, but it keeps my shoulder immobilized while I sleep, which is helping. The trick is this: put your arm in the sling w/ elbow at the closed end and keep it in place with the short Velcro over the forearm area. Then start putting the straps over that arm to your back and under the armpit of your other arm, making sure straps are flat. The round part will be in the middle of your upper back. There's a long Velcro strap that you'll pull from the back over the forearm to keep it in place. When you remove it, carefully spread it out flat in the way that it goes on and keep it that way somewhere until you're ready to put it on again. It will be a lot easier.