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I have pelvic floor pain, piriformis pain, and Myofascial pain syndrome , and possibly fibromyalgia, and this is the best seat cushion I have found so far (by quite a long ways). I've tried maybe 5 or so other cushions (Tush Cush, a tempurpedic molded one, a couple that have center cut outs, comfy cushion (can't remember name exactly), and this huge black one they sell here that I didn't like but my friend loves). This is so much better than the others for my pain, at least. I haven't tried the wondergel cushion yet though, which looks a bit similar but cheaper. I bring this cushion with me literally everywhere I go - I have to or else I can't sit (and standing isn't much better), so let's just say I'm screwed if I forget to bring this with me. I have 2 - one stays in my car and one I keep inside house to bring with me when boyfriend drives.