I've been a massage therapist for 33 years. I've worked in high end places that have had other pregnancy support pillows that work but not like this one. This one supports face up and down. The sighs of relief when a pregnant woman gets to comfortably lay on her stomach or be very supported while face up. It has really lasted. Very durable & supportive. Easy to carry with the handle or shoulder strap. I highly recommend this pillow. Can't say enough good things about it. Great investment.