I've had the pillow for about 2 months or so now and wow, what a difference. It's pretty long for starts, I'm 5'3 and is right below my knee in length. The material can seem a little stiff, however, I think it's great for support and I can move the cotton inside around for my needs. If you're a larger lady, Im only 132lbs, I'm not sure how much room you need, but it just barely fits on my queen bed with the hubby next to me to be warned of space.Also, it can be a challenge getting the cover backSee full review