I bought one of these month's ago. I bought an extra large which I now feel is to Big and need to drop to a large. Problem is I summited it to my Insurance and was told since this product was not made in this country It is not covered. So to drop I need to pay $169.00 again. Here is the thing I really like it. I am a side sleeper but I get it to work for me. But paying again is just impossible right now I have to tighten it very hard to make it work and with neck and back problems it agitates other places . That I think dropping down a size would work just right. I will keep using it.