I bought the medium because i only had 2 choices. They are over stuffed for people like me with neck problems. If it had half the stuffing may have worked. The returns are over the top. I give it 1 star because its american made and its not easy building a company but i hate MY PILLOW. Couldnt even use mine 1 full night. They need to unstuff the medium half and offer the 3rd soft. So they sit in the closet maybe one day someone can use them