I recently bought a new vehicle and I have been having severe neck and back pain secondary to the headrest pushing my head forward. I've tried everything there is to reposition it and it still hits my head, pushing it forward. The lumbar support doesn't help, I need upper back support in the thoracic region. I thought about trading it in for something different, but there isn't anything out there that doesn't do the exact same thing!! I have been in so much pain I started missing work. I bought this cushion a few weeks ago hoping it would support my back and push me away from the headrest for some relief and allow me to have my head straight up like it should be! I shouldn't have to add something to a brand new vehicle but I needed to try. This has helped me so much!! It has given me neck and back relief. It pushes me away from the headrest just enough and supports my back. It is Perfect!!! I have not felt hot at all from it. It is smooth, soft but firm and supportive. It straps on easily and securely. I don't really even notice it is there except for that it is doing exactly what I had hoped for it to do. It has not slid around at all on me and does not move when getting in or out of my seat; which I was concerned about. I haven't had a chance to make a long trip again yet. But I have strong hope that it will be ok. If you are having trouble with your head rest, this may be your answer. It was a little pricey, but I'm SO HAPPY I took the chance!! The thing I like the most about it too, is that it is MADE IN THE USA!!! Thank you!!!!!!!!!! Please don't stop making it or make it anywhere else. Also, I am a 5'8" female with a longer torso causing me to sit up higher, if that helps anyone. It looks exactly like the picture in the details. I didn't take a picture of it.