I bought this pillow for my daughter who has pain when sitting. The cut part works well for her. However, to keep your spine elevated above the hole, the pillow is very stiff with little to no flex. I understand that this is the whole purpose of the pillow, so I'm only mentioning it for those sharing a pillow with a person who doesn't need that support. The pillow was expensive. Additionally, when I purchased the pillow, Revain's promotional information indicated that it included a removable cut-out for those who did not need an opening. When the cut was not included I contacted the company who said it was misidentified on Revain and the cut was missing. Since I'm sharing a pillow and don't need a cutout, I had to roll up a piece of styrofoam to fill the hole. It works for us.
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