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SIDE SLEEPER CHECK Pillow fit, one number at a time

For side sleepers

Before you buy the butterfly pillow, check one number

Every pillow says it's for side sleepers. Few tell you the height. Too high or too low, that's the part to check, not the shape. Here's a free test you can do tonight with a ruler, and my honest take on whether the Derila Ergo is the right height for you.

By Wally. I'm not a doctor. I'm an affiliate. Updated October 28, 2026.

Video coming soonThe 4-minute version of this review

The video includes short clips from creators Derila paid. Each one is labeled on screen.

Already measured? See the Ergo and its current price

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Your closet of pillows isn't your fault

Tried so many pillows you've lost count? Packed the ones that didn't work into the closet? You weren't doing it wrong.

I think most people shop for pillows by soft or firm. The number they skip is height.

Look at what people do at night instead. They stack two pillows. They fold one in half. They sleep with an arm under it. I think those are all ways of fixing the same thing: height.

The shoulder gap

When you lie on your side, your shoulder lifts your head off the mattress. A pillow has to fill that gap. I call it the shoulder gap.

Side view of a person lying on their side. The shoulder holds the head above the mattress, leaving a gap the pillow must fill. shoulder gap pillow fills this
Illustration. Too flat, and your head tips down. Too tall, and it tips up.

A small study published in 2025 had nine side sleepers try four pillow heights. The researchers used each person's shoulder width to work out the height that lined the neck up best. 1

The test below is a simple home version of that idea. It isn't the study's method.

And pillows sag. The Sleep Foundation says to replace memory foam ones every two to three years. 2 So if you can't remember when you bought yours, that's your reason to check this week.

The free test (about two minutes)

  1. Find your shoulder number. Take a ruler. Measure across the top of your shoulder, from the side of your neck to the edge. On your side, that's roughly how high your head sits off the mattress.
  2. Measure your pillow, squashed. Press your pillow down about as hard as your head would, and measure how tall it is.
  3. Compare. If your pillow is a lot thinner than your shoulder number, it probably isn't filling the gap.
  4. Try the towel test tonight. Fold a towel and put it under your pillow to raise it. If that's more comfortable, a taller pillow may be worth it. A towel is fine for a test, but it can shift around.

Write your two numbers here

A rough guide only. It just compares your two numbers with each other and with the Ergo's listed height.

The honest part

One study found a contoured foam pillow did no better than a regular one. 3

So don't buy this one for its butterfly shape. Buy it, if at all, for the height.

No miracle claims here. Just height.

The Ergo's number

This is where I earn my commission, so judge for yourself.

Derila lists the Ergo at about 4.7 inches, before your head is on it. 4 Memory foam sinks some, so it will sit lower.

If your pressed-down pillow is far under that, the Ergo is a lot taller than what you have. If it's close, you may not need a new pillow.

And if your shoulder number is well over 4.7 inches, this one may not be tall enough for you either.

Why not just buy a thicker regular pillow?

You can. If it fills your gap, that works too.

Here's what Derila built into this one, from their own guide: 4

In late October 2026, one was about $60 on their page. Prices change, so check theirs.

You get 60 days to return it in usable condition. They don't refund shipping. 5

Who should skip it

I read buyer reviews before writing this. People complain about the Ergo's height both ways. Some say it's too low for their shoulders. Others say it's too high. That's why I'd do the ruler test first. This pillow isn't for everyone.

Before you order

Which one are you?

Again, I get paid if you buy through my link, so do the test first.

Your pillow is far under your shoulder number

Then a taller pillow is worth a look. Tap below to see the Ergo and its current price.

See the Ergo and its current price

Affiliate link. Opens Derila's page.

Your pillow is close to your shoulder number

Keep it. You just saved yourself $60.

Sources

  1. Tian S, et al. "The individualized optimal pillow height and neck support design for side sleepers." Medical & Biological Engineering & Computing, February 2025. PubMed 39412632
  2. Sleep Foundation, "How Often Should You Replace Your Pillow?" sleepfoundation.org
  3. Gordon SJ, et al. Journal of Pain Research, 2010; 3:137-145. PMC3004642
  4. Derila Ergo user guide. derila-ergo.com
  5. Derila return policy. derila-ergo.com