For everyone- my body (head) has a very low tolerance for sleeping with my head on the down hill side.
@Chris W, I would have thought that also but level is always relative (you ought to see some of the houses I've had to fix that were built "level" originally.
@Chris B, most of the cascade mtn trails have very established campsites so for LNT you take what is already there.
@Eugene, I don't think that technique would be expectable to my wife or ok for my sleeping bag
@John, the whole reason for going out on a limb with my ego on this tread is to avoid what you are suggesting (thats what I've done for years)
@SteveO, Thicker mattress is in the works. I have a Neo and a BAIAC but they are too cold for where I hike most of the time (I was snowed on in August)
@Andy, a bigger pillow might just make a pain in my neck, solving one problem by creating another.
@ Mary, I agree with the water issue- if its raining I just move on and look for a sloped site. Its when it is nice out that I have to do all the gyrations to get comfortable.
I am talking with Bender about both a custom mattress and pillow