My shoulders to neck is 5 inches. I bought the small size. I have cervical neck pain for a few months. I was so excited to receive the neck pillow and hoped it would help to ease my neck pain. I used it right away on the day I received it. Frustratedly, my cervical neck pain gets worse next day. The curved big end is too wide for neck length. When I let my head to sit on the middle lowest part of the pillow, my shoulders have to go on to sit on the edge of the pillow, the stiff edge makes my shoulders/upper back quite uncomfortable. When I let my shoulders not go on the pillow, my head has to sit on the top of the curved area, uncomfortable neither. I tried to sleep on the small end. Feel better than on the big end. But it is too narrow. My head touches the big end and feels a push. The total length of the pillow is 12 inches. l measure 7.5 inches from the edge of pillow (the big end side) to the lowest line of the pillow's middle part. (If includes the big end's curved degree, it is even longer than 7.5 inches). I chatted with a customer service. The agent said because of a new pillow, I need to give it a few days to get used to it. I understand if the problem is about the pillow's firmness. But it is not the point. I might need to grow my neck longer to fit the pillow.

[This review was collected as part of a promotion.] We have three of these pillows in our house. Bought a new one and it is far too hard. To call it firm is an understatement. More like concrete. I don't like this new version, but loved the old version. Very disappointed and I'm now out $119. Argh!

[This review was collected as part of a promotion.] I tried to like this pillow. It's very small. As a side-sleeper who likes their arm under a pillow this was not a good thing. After about a week of use, it got to be a little to soft and it kept shifting so it put a lot of pressure on my jaw and ear because that was what ended up on the ridge of the pillow.

[This review was collected as part of a promotion.] I want to love this pillow. I've had a Tempur-Pedic bed for years and will stay loyal to the brand. However, the neck pillow is too firm and is giving me headaches and jaw tension. Not what I was looking for. I wonder if it's just too cold out to use the pillow so I'm going to store it until late spring and see if it work better then.

[This review was collected as part of a promotion.] It took a short time to adjust to the pillow but well worth it. The pillow provides great support for my neck and head and allows me to sleep and rest more comfortably than with a more conventional pillow. I have had two neck surgeries and four shoulder surgeries, and this pillow provides the type of support I need. The material and construction are of high quality, so I expect this pillow will be in service for many years. Initially, the pillow seems hard, but once your body transfers heat, it "softens" up.

[This review was collected as part of a promotion.] I can have severe neck pain, but with this pillow I lay down and within 20 minutes it is gone because of its unique shape holding my neck up. It's like magic. I think it could be just a little bit softer and have a more comfortable feel for the whole night. Also, it didn't come with a pillow case and it is not intuitive to me which pillow case fits this exactly. I have tried three different pillowcases and would like to have a tight fit on the pillow, but can't figure out how to get it.

[This review was collected as part of a promotion.] I have been sleeping on the same pillow since 2001 when I got in a bad accident that left me having neck spasms and pain for years. I was 22. I literally have slept on the same pillow since then because it was the only pillow that prevent neck pain and I could sleep through the night. So, after 20 years I decided maybe I needed to buy a new one. I can say the one I had never lost it's shape but I thought maybe it had become dirty after all these years‍♀️ When the new one arrived I literally couldn't tell them apart. I'm glad the product has not changed and I am truly amazed by the quality. This will be the pillow i sleep with for life! Thanks Tempur-pedic

[This review was collected as part of a promotion.] I ordered two pillows after reading rave reviews. Unfortunately these pillows are so uncomfortably hard that they cannot be used and since Tempurpedic has a no return policy we stuck. I have other contour pillows so these aren't the first. On the positive side they appear well made.

[This review was collected as part of a promotion.] I sleep with a scrunched up neck and I have tried every kind of pillow to help me relax in my sleep. This is the only pillow that truly allows my neck and upper shoulders to be separated throughout the night while I'm sleeping so I have no pain when I wake up! I only wish there was a slightly softer version as well - some evenings I want more cushion.

I had high expectations of these pillows because they were Tempur-pedic. They are hard as rocks. I am not able to use them. And I was not allowed to return them. They were very expensive pillows. And I feel like I totally wasted my money. Very disappointing.