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Sleep Positions and What They Ask of a Pillow

Your default position sets the distance between your head and the mattress. Get that distance right and most other pillow decisions become smaller.

Very few people stay in one position all night, but most have a position they fall asleep in and return to. That position is the useful starting point, because it determines the gap a pillow has to fill.

Mattress firmness matters here too: a softer mattress lets your shoulder sink, which narrows the gap and reduces the loft you need.

How position translates into loft

Side sleepingHighest loftBack sleepingMedium loftStomach sleepingLowest loft
Side sleeping typically needs the most pillow height, stomach sleeping the least. Individual shoulder width and mattress feel shift these ranges.

Our pillow height guide explains how to measure your own gap rather than relying on "low / medium / high" labels, which are not standardised between brands.

Last updated September 1, 2026