Hi Billy--I dont have TOS but i had acdf surgery on neck and severe right shoulder problems ---I would say I bought every pillow under the sun my pillow.com-- on line,wedge pillows are stiff,memory foam,water pillow....my guess I spent over $600.00 (lol) desperate to get a good night sleep. It boiled down what worked best for me was two cheap extra soft thin pillows u can buy anywhere. Hope this helps before you spend alot of money like me trying!