This pillow doesn"t look like what you would expect - that"s because it was designed by an Ergonomic Designer in consultation with a Doctor of Chiropractic. The goal to a sound sleep is "Spinal Alignment". Because you sleep on your back, side, or both, this pillow was created to work for each sleeping position. The ergonomic design offers correct support and stability in sleeping posture. The result is a more sound sleep and less tendency to wake with pain, stiffness and many of the symptoms resulting from lack of support.