I see some sleep on down pillows, I grew up with down and until the last 10 years I slept on down. I changed to poly fills because of my husband's heart and immune system, then two years ago we replace our pillow top mattress with a Temperpedic, very expensive but worth any penny. We have a king bed but the mattress deal included 2 of their standard size pillows. It took a bit to get use to them because they are quite firm but they do mold to your head. I now love them, don't have as much neck distress as before.