Best for Side Sleepers: Luxome LAYR Customizable Pillow
Score: 9.2 out of 10
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Pros and cons
Pros
- Very customizable
- Perfect pressure relief ratings for side sleepers
- Machine washable cover
Cons
- May be too tall for some stomach sleepers
- Stackable design means it’s not designed to be flipped
Features
- Material: Natural viscose from bamboo shell
- Fill: Down alternative fiber and memory foam
- Loft: Adjustable
- Firmness: Adjustable
Key takeaways from our testing
Inserts make it easy to customize. The Luxome LAYR Customizable Pillow lets you tailor the pillow's loft with self-contained inserts. It’s easily the most customizable pillow on this list, with three different inserts you can mix and match. It includes:
- A soft insert made from down alternative
- A medium insert made from down alternative and shredded memory foam
- A firm insert made from a solid block of memory foam
Bryan said he found the design confusing at first because, when he unzipped the pillow, he saw three inserts stacked on top of each other. However, he said he appreciated how easy it is to remove or rearrange the inserts to adjust the pillow's height and firmness.
The Luxome LAYR Customizable Pillow had the highest sinkage rate on this list (4.5 inches), which we measure by placing a 45-pound kettlebell on the pillow and measuring how much the kettlebell sank. Sinkage in pillows relates to pressure relief, which can vary in different sleeping positions.
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Height could benefit side sleepers. Bryan gave the Luxome LAYR Customizable Pillow a perfect rating for pressure relief in the side sleeping position, noting he felt “fully supported.” He liked having the softer layers at the top for comfort, with the firmer insert at the bottom. Bryan also gave this pillow top-notch pressure relief scores for back sleeping, noting his head and neck felt very aligned in that position.
Some stomach sleepers may find it too tall. While Bryan liked this pillow for side and back sleeping, he gave it a rock-bottom stomach sleeping rating for pressure relief because the fabric felt like it was “folding” around his face. “It’s covering my face too much,” he said. “It feels like it might be too tall for stomach sleeping.” In this instance, the high sinkage, while in the stomach sleeping position, could be perceived as negative, since the height of the pillow in relation to the weight of your head may cause you to feel trapped. Okubadejo, the spinal and orthopedic surgeon in New York City, generally recommends a thinner pillow for stomach sleepers to minimize the stress placed on the neck. So if you’re interested in the Luxome LAYR Customizable Pillow but you sleep on your stomach, you may want to remove some of the inserts.
Survey data spotlight
In our 2026 sleep accessory survey, 67 percent of respondents reported having back pain, while 46 percent reported having neck pain. Of the respondents who bought a new pillow because they were experiencing pain, 73 percent reported feeling less pain afterward.
How we tested the best pillows
We started our process by researching the market. Which pillows are popular and why? Which companies have the best customer reviews — and are the reviews legitimate? After completing our research, consulting the results of surveys and focus groups and talking with medical experts, we narrowed our list from 20 pillows to the 10 we tested in our lab.
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To identify their strengths and weaknesses, we used controlled tests to assess features like sinkage and the resulting pressure relief, ease of care and temperature regulation. Then we recruited a 62-year-old tester to give us his unbiased feedback. He answered questions like: How easy is it to adjust the height or firmness of the pillow? Does your spine feel well aligned? Did the pillow warm up? The models that excelled in our tests made our list of the best pillows.
For more details on our process, see our mattress and sleep products testing methodology.
How to choose the best pillows
Aside from providing comfort, a pillow helps keep the spine in neutral alignment from the skull to the cervical spine while we sleep, says Okubadejo. If your pillow doesn’t adequately support your spine, this lack of support may contribute to stiffness or headaches. For older adult patients with pre-existing conditions such as cervical stenosis — a narrowing of the spinal canal in the neck that can compress nerves — or arthritis, not getting enough support causes pain, Okubadejo says.
So if you’re looking for a pillow that fits your individual needs, you may want to consider the following features.
Pressure relief
A good pillow should relieve pressure on areas like the neck, shoulders and back by promoting spinal alignment and distributing your weight more evenly. Experts we spoke with recommend choosing a pillow with the right loft and firmness to keep your spine neutral. Your sleeping position — which we delve into in the next section — will likely influence which loft suits you best.
Sleeping position and pillow height
As noted, your sleeping position largely determines how tall your pillow should be to maintain neutral spinal alignment. “Getting this [height] wrong based on personal preference rather than spinal mechanics is one of the most common and correctable sources of chronic neck pain I see,” says Okubadejo.
Below you’ll find expert recommendations for pillow height based on sleeping position.
- Side sleepers may benefit from a higher loft. Older adults who sleep on their sides might benefit from a higher-loft pillow that bridges the distance between their shoulders and heads, Okubadejo says. He adds that sleeping on a pillow that’s too flat may cause your head to extend and cause tension in your neck.
- Back sleepers could fare best with a medium loft. Okubadejo suggests older adults who sleep on their backs can aim for a medium height, or 3 to 5 inches, that cradles the natural cervical curve. So how can you test a pillow in this sleeping position? When positioned on your back and resting your head on a pillow, Okubadejo suggests you try to ensure your chin is not pressed toward your chest. “That [pressing] position may compress the airway and strain your neck,” he says.
- Stomach sleepers might prefer a lower loft. Stomach sleeping is generally the least favorable sleeping position. In fact, Okubadejo says he counsels his patients to avoid stomach sleeping altogether. “No pillow can fully correct the cervical rotation and lumbar stress that comes with [stomach sleeping,]” he says. However, if you can’t break the habit, he says to seek out a thin pillow because it will be the “least damaging option” for the spine.
Filling
Memory foam, down alternative and latex foam are common pillow filling materials. In fact, in our sleep accessories survey, 54 percent of respondents said they had bought a pillow with memory foam.
Of course, the type of pillow fill influences how it feels. For instance, pillows filled with latex foam tend to have a more natural bounce than those filled with a down-alternative, as latex is often a more responsive material. And those with memory foam tend to feel more cradling and contouring.
Okubadejo says he often directs his older adult patients toward memory foam or latex as a clinical option. “Both will contour to the head and neck, allow for proper pressure dispersion and minimize the localized pressure to the cervical joints,” he says.
He also says he generally advises his older adult patients to avoid down or poly-fill pillows (such as those made of down-alternative materials) because they compress under the weight of the head over time and can lose the support the neck needs.
How much do the best pillows cost?
The best pillows on our list range in retail price from $65 to $150 for a queen or standard size. All pillows are sold individually. The least expensive option on our list is the Brooklinen Marlow Pillow at $65 for a standard pillow. The Saatva Latex Pillow is the most expensive option on this list at $165 for one standard-size pillow.
Note: We’ve listed the starting retail prices in the chart below, but some companies vary their prices based on the fill amount and size you choose.
FAQs
What are the best pillows for side sleepers?
High-loft pillows — or those upwards of 5 inches in height — often are best for side sleepers because they help fill the gap between your shoulders and head. Okubadejo, a spinal surgeon in New York City, says if your pillow isn’t high enough, it may stress your neck. But the reverse is also true: A pillow that’s too high could increase strain on your neck. Okubadejo says to find a pillow that keeps your spine straight and your neck feeling comfortable.
What is the best kind of pillow to help with neck pain?
The best type of pillow to help with neck pain is a cervical-contour pillow, says Okubadejo, referring to the type that has a wave-like design with a higher loft on the sides and a lower center, meant to maintain the alignment of the cervical spine. He recommends that his older adult patients seek a cervical contour pillow filled with medium-firm memory foam or latex foam. That’s because foam is more likely to adapt to your head and neck shape, and Okubadejo says a pillow should complement your natural form, not work against it.
What is the best cooling material for pillows?
Based on our testing, we have found the best cooling materials for pillows, both fill and covers, are cotton, viscose from bamboo or latex. These fabrics are naturally breathable, as they allow air to flow more freely and help dissipate heat.
Questions or feedback? Email us at AARPSmartPicks@aarp.org.
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