The massage therapist explained how for the massage I would lay on my side and then switch to my other side part ways through, then end on my back. All while being propped up with a few pillows for comfort. When I explained I had this pillow which would allow me to lay on my front, she seemed a little skeptical initially, until I explained its features; how there’s extra support around the pelvis, no pressure on my tummy or breasts, how it’s made of comfy memory foam and wouldn’t interfere with her treatment style at all. I got comfy on my front and popped a towel under my forehead, as her bench didn’t have an adjustable headpiece. I had the most amazing full body massage prone, and was able to fully relax. After about 40/45 minutes I was starting to get achy in my thoracolumbar area, but by then it was time to turn onto my back anyway. I think that length of time in any one position during pregnancy does get uncomfortable, I certainly notice it at night.