This is my first gel type cushion, too soon to judge well. I'm quadriplegic from polio, been confined to wheelchair for 65 years, always used foam rubber or polyurethane cushions successfully.
Pros:It seems to distribute pressure well. Delivery was very prompt.
Cons:Too short. My wheelchair seat is 16" x 16"; but,17" or 18" length, front-to-back,is necessary for leg and seat support. Also, the covering is rather harder than I'm used to.
Overall: Yes, I would recommend this product.