I almost didn't buy these because of the negative reviews but I was feeling really desperate so I gave it a try. I had tried plain silicone ones and those are terrible, they cause moisture build up underneath so I was really looking for a nice fabric cushion. With the gel inserts it's true these are too bulky but it was easy enough to take them out and now they're perfect. The only thing is they shift a little from time to time but that's not a big deal. I'm planning on buying more pairs now, thank you!