What Is The Best Mattress for Back and Stomach Sleepers [In 2026]

best mattress for back and stomach sleepers offers the perfect balance of support and comfort to maintain spinal alignment and reduce pressure points. Choosing the right mattress is essential for those who sleep on their back or stomach to avoid discomfort and promote restful sleep.

In the USA, factors such as firmness, cooling features, and zonal support are key when selecting a mattress for these sleep positions. This guide will help you find the best mattress for back and stomach sleepers that suits your needs and budget.

Below is a quick comparison table of top-rated mattresses, followed by detailed reviews to help you make an informed decision.

Quick Comparison: best mattress for back and stomach sleepers

Our Top 5 best mattress for back and stomach sleepers

We selected five models for different needs and budgets, prioritizing feature quality, performance, fit/compatibility, reliability, and value.

BedStory Firm Queen Mattress

Overview

This mattress suits back and side sleepers seeking firm yet comfortable support. It features a high-density independent pocket spring system with zonal ergonomic design for precise pressure relief and spinal alignment. The breathable fabric keeps sleepers cool, and the mattress ships compressed for easy setup.

Compatible with all frame types, it is CertiPUR-US and Oeko-Tex certified, ensuring safety and durability in the USA market.

Specs

→ 14-inch hybrid queen mattress
→ Independent pocket spring system
→ Zonal support for shoulders, waist, hips
→ Highly breathable fabric for cooling
→ Forever warranty with 365-night trial

Pros

👍 Ideal comfort and support balance
👍 Effective zonal pressure relief
👍 Breathable and cool sleeping surface
👍 CertiPUR-US and Oeko-Tex certified
👍 Forever warranty and trial period

Cons

👎 May be too firm for some side sleepers
👎 Requires 48-72 hours to fully expand
👎 Limited to queen size in this model

Customer Experience

Customers praise the mattress for its firm yet comfortable feel and improved sleep quality. Setup is straightforward with quick delivery, and many report reduced snoring and better back support.

Best For

Back and side sleepers needing firm zonal support.

Check Today’s Price

DOWNCOOL 3 Inch Memory Foam Topper

Overview

This mattress topper is ideal for those seeking additional cooling and pressure relief on existing mattresses. It features a bamboo viscose cooling top with a 3D air layer and plush memory foam filling to ease back, shoulder, and hip pain. The deep pocket design fits mattresses 8–21 inches thick securely.

OEKO-TEX certified materials ensure safety and durability, making it a great add-on for back pain relief in the USA.

Specs

→ 3-inch memory foam topper
→ Bamboo viscose cooling top
→ 1700 GSM plush filling
→ Deep pocket fit 8–21 inches
→ Machine washable cover

Pros

👍 Excellent back pain relief
👍 Cooling bamboo viscose surface
👍 Secure deep pocket fit
👍 Machine washable for easy care
👍 OEKO-TEX certified materials

Cons

👎 Mixed feedback on softness level
👎 Some find cooling effect limited
👎 Thickness may be too thin for some

Customer Experience

Users find the topper comfortable and supportive, with notable back pain relief. Setup requires airing out, and it fits queen beds snugly without sliding.

Best For

Back pain sufferers needing cooling mattress enhancement.

Check Today’s Price

FATHOM Medium Queen Mattress

Overview

Designed for back pain relief and cool sleep, this medium-firm memory foam mattress uses AeroFusion gel foam for breathability and heat dissipation. It features a removable, fiberglass-free cover with a zipper for easy cleaning. Motion isolation technology reduces disturbances for couples and kids.

Made in the USA with CertiPUR-US and Oeko-Tex certified materials, it offers a 10-year warranty and easy setup.

Specs

→ 12-inch gel memory foam mattress
→ AeroFusion cooling technology
→ Fiberglass-free removable cover
→ Motion isolation technology
→ 10-year warranty included

Pros

👍 Excellent cooling comfort
👍 Supportive medium firmness
👍 Easy to clean cover
👍 Motion isolation for couples
👍 Made in USA with certifications

Cons

👎 May be too soft for some stomach sleepers
👎 Requires 72 hours to fully expand
👎 Limited size options

Customer Experience

Customers appreciate the mattress’s balance of support and softness, noting improved back comfort and cool sleep. Setup is simple with fast expansion and no chemical odors.

Best For

Back pain relief and cool sleeping environments.

Check Today’s Price

BedStory King Cooling Gel Mattress

Overview

This 14-inch hybrid mattress is designed for side sleepers and couples needing extra lumbar and shoulder support. It features over 960 independent pocket springs and gel memory foam for pressure relief and cooling. The breathable, skin-friendly fabric promotes airflow and comfort.

Certified safe and fiberglass-free, it includes a 365-night trial and 10-year support, making it a reliable choice in the USA.

Specs

→ 14-inch hybrid king mattress
→ 960+ independent pocket springs
→ Gel memory foam for pressure relief
→ Breathable knit fabric cover
→ 365-night trial and 10-year support

Pros

👍 Strong multi-layer support
👍 Effective pressure relief foam
👍 Breathable and skin-friendly fabric
👍 Fiberglass-free and certified safe
👍 Long trial and warranty period

Cons

👎 Firmness may be too high for some
👎 Takes 24-72 hours to fully expand
👎 Best suited for side sleepers

Customer Experience

Users find the mattress comfortable and supportive, with easy setup and improved sleep quality. Some note it feels like sleeping on clouds but firm enough to prevent pain.

Best For

Side sleepers and couples needing extra support.

Check Today’s Price

Serta Five Star Firm Mattress

Overview

This firm mattress is designed specifically for back and stomach sleepers seeking spinal alignment and pressure relief. It features a 3-zone support system targeting lumbar areas and breathable fabrics for cooling comfort. The mattress is CertiPUR-US certified and comes with a 100-night trial and 10-year warranty.

Made in the USA, it offers durable support and easy setup with mattress-in-a-box convenience.

Specs

→ 12-inch firm mattress
→ 3-zone targeted lumbar support
→ Cooling breathable cover
→ CertiPUR-US certified foams
→ 100-night trial and 10-year warranty

Pros

👍 Firm support for spinal alignment
👍 Zoned pressure relief foam
👍 Cooling and breathable materials
👍 Easy mattress-in-a-box setup
👍 Trusted brand with warranty

Cons

👎 Some report mattress size smaller than expected
👎 Firmness may not suit side sleepers
👎 Mixed feedback on mattress fit

Customer Experience

Customers report waking up without pain and enjoying the firm, supportive feel. Setup is simple, though some note the mattress size is slightly smaller than advertised.

Best For

Back and stomach sleepers needing firm support.

Check Today’s Price

Buying Guide: best mattress for back and stomach sleepers

Firmness Level

Back and stomach sleepers generally benefit from medium-firm to firm mattresses to maintain proper spinal alignment. Too soft a mattress can cause the body to sink, leading to discomfort and poor posture during sleep.

Support and Pressure Relief

Look for mattresses with zonal support or targeted pressure relief to cushion shoulders, hips, and lumbar areas. This helps reduce pain and supports natural spinal curves for restful sleep.

Cooling Features

Mattresses with breathable fabrics, gel-infused foams, or hybrid coil systems promote airflow and heat dissipation. These features are important for maintaining a comfortable temperature throughout the night.

Material Certifications

Choose mattresses made with CertiPUR-US or Oeko-Tex certified foams to ensure safety from harmful chemicals. These certifications also indicate higher quality and durability.

Trial Period and Warranty

A generous trial period allows you to test the mattress risk-free, while a solid warranty protects your investment. Look for at least a 100-night trial and a warranty of 10 years or more.

FAQs: best mattress for back and stomach sleepers

What firmness is best for back and stomach sleepers?

Medium-firm to firm mattresses are ideal as they provide proper spinal support and prevent sinking.

Are hybrid mattresses good for back and stomach sleepers?

Yes, hybrids combine coils and foam for support and comfort, often offering better airflow and pressure relief.

How important is cooling in a mattress for these sleepers?

Cooling features help regulate temperature and improve sleep quality, especially for those who tend to overheat.

Can a mattress topper improve support for back sleepers?

Yes, a quality mattress topper can add pressure relief and enhance comfort without replacing the mattress.

How long should I wait for a mattress to fully expand?

Most mattresses require 24 to 72 hours to fully expand after unboxing for optimal comfort.

Are CertiPUR-US certified mattresses safer?

Yes, they are tested for harmful substances and meet strict safety standards, ensuring healthier sleep.

Is a trial period necessary when buying a mattress?

Yes, it allows you to test comfort and support risk-free and return if it doesn’t meet your needs.

Final Verdict: best mattress for back and stomach sleepers

For firm zonal support and cooling, the BedStory Firm Queen Mattress is an excellent choice. Those seeking added pressure relief can consider the DOWNCOOL Memory Foam Topper. The FATHOM Medium Queen Mattress offers a balance of comfort and coolness, while the Serta Five Star Firm Mattress is ideal for firm support needs. Side sleepers and couples may prefer the BedStory King Cooling Gel Mattress for extra lumbar support.