The pouch is comfortable, light and easy to adjust. I like the velcro attachment which keeps my arm in position better than other slings. 5 stars. BUT I am still looking for a sling that has good neck and shoulder support and this sling is better than most but still not nearly good enough. I need to wear a sling for the rest of my (hopefully long) life and I'd rather have a comfortable support than need lifelong physio.