So far so good. As others have mentioned do not follow the instructions to wash the inner pouch with the material. If you do would take forever to dry as in it would probably be mildewy before it dries. But you should wash the outer cover. Took about a day and half for the pillows to decompress after unpacking. Did have a slight almost medicinal odor to it when first opened but after about 2 days that dissipated completely.So far so good on the comfort. Because it is not a solid piece and instead is a bunch of smaller cut pieces it both molds and cradles the head. As such you have that feeling of soft fluffy pillow with the support of a firm pillow. I would rate it about a medium firmness out of package. I have arthritis and joint issues in my neck and shoulder and has helped some with the pain. Is the most comfortable when sleeping on your side. Sleeping on your back you have to maneuver it just right so that it it supports your neck just right, but is not particularly hard and such don't need the cervical pillow I was using with my other pillows.The only "complaint" (if you can call it that) is that the material definitely retains heat. In cooler months is not so much of an issue. With the 105 degree heat we have been having it can make for a sweaty night as such you will definitely need pillow covers and will have to change them often. At least until it cools down.And yes normal pillow covers fit the size you get and are not some odd custom size as some of these types of pillows are. If you are not used to down (or down like) pillows it could take a bit of getting used to as is not the same type of feel to it as the standard pillow and while comfortable the pillows are a bit heavy compared to standard pillows. I wish I had bought a second set for the other half while they were still on sale.
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