Abstract: An incrementally adjustable ergonomic pillow, of a fitted fabric or other type holder for already shaped foam, poly or other type inserts, placed inside of the pillow case and held there by way of Velcro strips, zippers or other restraint attachments was developed because of the needs of the various sizes of persons engaged in the sleep process, due to those horizontal variations and vertical differences between the shoulder of different sizes of persons engaged in the sleep process, due to those horizontal variations in vertical differences between the shoulders of different size persons and the need of individuals to have a horizontal alignment of the entire system (tip of vertebrae where they join the base of the skull, neck vertibrae of the back) while lying on the sides, back or stomach while resting or sleeping. It also tends to inhibit snoring when an obstructed passageway for air may be the cause. Orthopedic and therapeutic values are imputed.