I use this pillow along with another bean shaped nursing pillow. Alone it's to skinny. But I find all nursing pillows to skinny. So I stack them. This combo gives me great hight. I can sit up nice and straight while nursing. Because it's so firm it gives a good base for my bean pillow. I've tried others for more hight but nothing worked. I like the way this pillow snugs up right against you and can be clipped to stay in place so baby doesn't role forward. The lumps on either side are a bit strange. I may end up cutting them down since I'm really only using this to give more hight to my other pillow. I don't find the little pocket useful. My kids, on the other hand, love to put toys in it. Over all I'm happy with this nursing pillow. It's serving the purpose I bought it for.