Saatva Rx Mattress Review

Based on Q&A session with our Chief Sleep Science Editor,

Last updated | May 22, 2024 provides objective and unbiased recommendations to help you find the best mattress for you. When you use our links to shop for products, we may earn a commission at no cost to you and in no way affects our editorial independence.

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Saatva Rx Mattress


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Saatva Rx Mattress

By Brand: Saatva
4.67 out of 5.0
$3295 $2945

Product Description

Saatva Rx is the first luxury mattress mainly designed for sleepers with chronic back pain and joint conditions. It is endorsed by American Chiropractic Association. This hybrid mattress is 15 inches in height and manufactured using 7 layers.

If you are struggling with sciatica, arthritis, a herniated disc, or scoliosis, Saatva Rx is the mattress you need. This mattress offers superior pressure relief and back support, cradling your body in weightless comfort.

The unique Therapeutic Support Core™ adjusts to your body’s curves and movements. This virtually eliminates pressure points, improves circulation, and provides a truly restorative sleep.

Saatva Rx’s commitment to eco-friendly materials makes it even more appealing. The mattress features an organic cotton cover, Guardin™ botanical antimicrobial treatment, and CertiPUR-US® certified foams. Its coils are made from recycled steel, and the flame retardant barrier is crafted from natural thistle pulp, ensuring you’re not sleeping on harmful chemicals.

Say goodbye to tossing and turning with Saatva Rx’s gel-infused memory foam and patented Lumbar Zone® Quilting, which perfectly aligns your spine. This mattress is not only chiropractor-recommended but also endorsed by American Chiropractic Association, guaranteeing you receive the best support possible.

Delivered to your home with free white glove delivery, Saatva Rx also includes a 365-night home trial and a generous warranty, giving you plenty of time to decide if it’s the right fit. Plus, if you decide it’s not for you, they’ll pick it up and refund your money, minus a small processing fee. Experience the comfort and support of Saatva Rx Mattress, and discover why 96% of Saatva customers are satisfied with their purchase.

Q1. What is unique about Saatva Rx mattress? Does it provide superior cooling, comfort, back support, and pressure relief?

Saatva Rx Mattress stands out for its specialized design aimed at sleepers with chronic back and joint conditions. Its uniqueness lies in the combination of advanced features that specifically alleviate discomfort associated with conditions like sciatica, arthritis, herniated discs, and scoliosis.

Yes, Saatva Rx provides superior cooling, comfort, back support, and pressure relief:

  • Cooling: It features a breathable organic cotton cover and gel-infused memory foam that actively draws heat away from the sleep surface. Proprietary foam’s open-cell structure and dual-coil design boosts airflow. This breathability helps wick away heat from your body ensuring a cool undisturbed sleep throughout the night.
  • Comfort: With a plush and soft sleep surface, Saatva Rx instantly relieves pressure points, cradling your body in weightless support. its multiple layers of high-density foam and micro-coils provide a comfortable and flexible sleeping experience.
  • Back Support: Saatva’s patented Lumbar Zone® Technology and Therapeutic Support Core™ offer enhanced lower back support, ensuring healthy spinal alignment. The mattress automatically adjusts to your body’s curves and movements, providing consistent support where you need it most.
  • Pressure Relief: Its innovative micro-coil layer and high-density foam work together to relieve pressure points, reducing discomfort and promoting better circulation. The mattress’s body-contouring capabilities ensure that your body is supported to minimize stress on joints and muscles.

Saatva Rx Mattress combines these features to offer a holistic solution for chronic back and joint pain relief.

Q2. How firm is Saatva Rx mattress?

Saatva Rx Mattress has a firmness level described as “Supportive Plush.” On a firmness scale of 1 to 10, this mattress is rated at 4. This means it provides a plush and soft sleep surface that instantly relieves pressure points while maintaining a supportive core to keep the spine in perfect, healthy alignment. It is best suited for side sleepers but also works well for back and combination sleepers, particularly those suffering from chronic back and joint conditions.

Q3. How thick is Saatva Rx Mattress?

Saatva Rx Mattress, with its substantial 15-inch thickness, is designed to provide robust support and exceptional comfort for sleepers with chronic back and joint conditions. This thickness accommodates multiple layers of advanced materials, each contributing to its overall performance.

Q4. Is Saatva Rx Mattress Safe?

Saatva Rx Mattress is designed with safety and eco-friendliness in mind. It ensures a healthy sleep environment for sleepers and positively impacts nature.


  • CertiPUR-US® Certified: Memory foam used in Saatva Rx Mattress is CertiPUR-US® certified, meaning it meets rigorous standards for content, emissions, and durability. It is made without using harmful chemicals such as ozone depleters, flame retardants, formaldehyde, and phthalates.
  • Congress of Chiropractic State Associations Seal of Approval: This endorsement indicates that the mattress meets high standards for supporting spinal health and overall body alignment.
  • Endorsed by the American Chiropractic Association: This endorsement further confirms Saatva Rx mattress’s efficacy in providing proper support and comfort for those with chronic back and joint conditions.

Eco-Friendly Materials:

  • Organic Cotton Cover: Its cover is made from organic cotton. This natural material is breathable and hypoallergenic, promoting cooler and healthier sleep.
  • Guardin™ Botanical Antimicrobial Treatment: This treatment helps prevent bacteria, mold, and mildew buildup contributing to a cleaner sleep environment.
  • Recycled Steel Coils: The pocketed comfort coil unit is made from triple-tempered recycled steel, reducing the environmental impact.
  • Natural Thistle Pulp Flame Barrier: Instead of using toxic chemical sprays or fiberglass, Saatva uses a natural thistle pulp flame barrier, enhancing safety without harmful side effects.
  • REPREVE® Recycled Polyester Base Panels: The base panels of the mattress are made from REPREVE® recycled polyester, removing single-use plastic bottles from the waste stream.

Benefits to Sleepers and the Environment:

  • For Sleepers: Saatva Rx mattress provides a safe, non-toxic sleeping environment with excellent support, pressure relief, and cooling properties. These features make it suitable for those with chronic back and joint conditions. The antimicrobial treatment and hypoallergenic materials ensure a cleaner and healthier sleep surface.
  • For the Environment: By incorporating eco-friendly materials like organic cotton, recycled steel, and recycled polyester, Saatva reduces its products’ environmental footprint. The use of non-toxic flame retardants and the commitment to sustainable practices further enhance the mattress’s eco-friendliness.

Saatva Rx Mattress offers a safe, supportive, and environmentally conscious option for sleepers seeking relief from chronic pain while positively impacting the planet.

Q5. What sizes are available for Saatva Rx mattresses?

Saatva Rx Mattress is available in seven standard sizes:

  • Twin: 38″ x 75″
  • Twin XL: 38″ x 80″
  • Full: 54″ x 75″
  • Queen: 60″ x 80″
  • King: 76″ x 80″
  • Split King: 76″ x 80″ (pair of Twin XL mattresses)
  • California King: 72″ x 84″

Q6. Briefly discuss Saatva Rx mattress policy on shipping, delivery, risk-free trial, and warranty.

Trial, Warranty, and Shipping Policies

  • Availability

Saatva Rx Mattress can be purchased through the company’s website. Additionally, Saatva has viewing rooms in select U.S. cities where you can test the mattress in person.

  • Shipping

Saatva offers free shipping to the contiguous U.S. While direct shipping to Alaska and Hawaii is unavailable, their customer service team can help ease delivery via third-party carrier. Their mattresses mostly arrive within 9 to 21 days of placing an order. Once the mattress passes quality control, the delivery team contacts the customers to arrange a delivery date.

  • Additional Services

Saatva Rx Mattress includes free White Glove delivery within the contiguous U.S., meaning professionals will install the mattress in your room. You can also request free removal of your old mattress during online checkout.

  • 365-Night Home Trial

You have 365 nights to test Saatva Rx Mattress. There is no mandatory break-in period, so an individual can initiate a return at any time during the trial period. If someone decides to return the mattress, they receive total refund, minus a $99 transportation charge.

  • Warranty

Saatva Rx Mattress comes with Saatva’s Friends for Life limited lifetime warranty covering material and manufacturing defects, including surface impressions greater than 1.5 inches. If the mattress is deemed defective within the first two years, it will be replaced at no charge. Saatva will repair and re-cover defective mattresses from third year onward for a $149 processing fee.

Alternatively, Saatva offers a Fairness Replacement Option, allowing you to keep your defective mattress and purchase a new one at a discounted price. New mattresses under this option are subject to a $99 shipping and processing fee. For more details on prorated terms and conditions, please refer to Saatva’s website.

Pros & Cons

Q1. Who would you recommend Saatva Rx mattress to?

  • Suitable for those suffering from hip pain.
  • Chiropractor recommended bed aids people with back pain.
  • Side sleepers will relax because of its strong support.
  • Offers plush support without causing excessive sinkage.
  • Suitable for couples because of its excellent motion isolation.

Q2. Who should avoid the Saatva Rx mattress?

  • Not too firm for lightweight sleepers.
  • A little more expensive than a traditional hybrid mattress.


Firmness is subjective, as individual comfort and support preferences can vary greatly. Saatva Rx Mattress has a firmness rating of 4 on a scale of 1 to 10, with 1 being the softest and 10 being the firmest. This places Saatva Rx in the “Plush Support” category, designed to offer a soft, yet supportive sleep surface that is particularly beneficial for those with chronic back and joint conditions.

The plush and supportive nature of the mattress is achieved through its multi-layered construction:

The top layer consists of a naturally breathable and hypoallergenic organic cotton cover. This cover is soft to the touch and promotes cooler sleep, which is crucial for comfort. It is treated with Guardin™ botanical antimicrobial treatment to inhibit the growth of bacteria, mold, and mildew, ensuring a cleaner sleep environment.

Beneath the cover is the gel-infused memory foam lumbar crown. This 1/2″ layer actively draws heat away from the body, helping to maintain a comfortable sleep temperature. It works in tandem with the patented Lumbar Zone® Quilting above it, providing extra support and durability in the middle of the mattress. This combination helps to relieve back pain by keeping the spine in healthy alignment and preventing body impressions from forming over time.

Next, two high-density foam layers encase a micro-coil comfort layer. These layers, totaling 2 ¾” in thickness, cradle the body comfortably while offering optimal support. The micro-coil layer is 1″ thick and contains 1,628 micro-coils. These coils are more flexible than traditional spring types, allowing them to conform closely to every curve of the body. This flexibility is crucial for providing superior body contouring and pressure relief, which is particularly beneficial for those suffering from hip pain, joint conditions, and other chronic discomforts.

Saatva Rx mattress also features a groundbreaking Therapeutic Support Core™. This core includes 2″ Rx Foam Modules™ encased at each pocketed coil. Its proprietary foam is infused with cooling graphite and phase-change material to provide a cooler sleep experience. The modular design enhances motion isolation and body contouring, providing more undisturbed sleep and tailored support. This design is especially effective for those with serious chronic back and joint issues, as it reduces motion transfer and provides targeted pressure relief.

Its 8″ pocketed comfort coil unit, made from triple-tempered recycled steel, ensures durability and responsiveness. The 578 coils (in a queen size) adjust to every movement, providing continuous support and pressure relief. Firmer caliper spring coils around the perimeter offer excellent edge support, enhancing stability and making it easier to get in and out of bed.

Eco non-woven base layer stabilizes the individual coils, ensuring the mattress remains supportive and durable over time. This base layer contributes to the overall firmness and stability of the mattress, providing a solid foundation for all the comfort layers above.

Saatva Rx Mattress combines plush comfort with robust support through its innovative layering and high-quality materials. This unique combination helps to alleviate back pain, hip pain, and joint conditions by providing targeted pressure relief, maintaining spinal alignment, and ensuring a cool and comfortable sleep environment.

Material & Construction

Q1. What are the unique technology, design, and materials used in the construction of the Saatva Rx mattress?

Saatva Rx Mattress is meticulously crafted to provide unparalleled support and comfort, especially for those suffering from chronic back and joint conditions. Let’s delve into the details of its seven layers, each designed to contribute to its unique therapeutic benefits.

  1. Supportive & Breathable Sleep Surface (Cover)

The top layer of Saatva Rx Mattress is its luxurious cover, made from naturally breathable and hypoallergenic organic cotton. This cover is designed to promote cooler and healthier sleep. It’s treated with Saatva’s exclusive Guardin™ botanical antimicrobial treatment, which helps inhibit the growth of bacteria, mold, and mildew. Saatva’s patented Lumbar Zone® Quilting incorporated into this layer offers extra support in the center third of the mattress, ensuring healthy spinal alignment and enhancing overall comfort.

  1. Pressure-Relieving Lower Back Support (Comfort Layer)

Beneath its cover lies the 1/2″ gel-infused memory foam lumbar crown. This comfort layer actively draws heat away from the sleep surface, helping to maintain a comfortable temperature throughout the night. It works synergistically with Lumbar Zone® Quilting above to provide additional support and durability in the middle of the mattress, which is crucial for reducing back pain and preventing body impressions over time.

  1. Plush, Cradling Comfort (Comfort Layer)

The next layer consists of 2 ¾” of high-density foam that encases a micro-coil comfort layer. This foam cradles the body, offering plush comfort while providing optimal support. The micro-coils within this layer are more flexible than traditional spring types, allowing them to conform closely to the body’s curves and alleviate pressure points effectively. This layer is vital for enhancing the mattress’s overall plushness and support.

  1. Body-Contouring Pressure Relief (Comfort Layer)

1″ micro-coil layer contains 1,628 micro-coils, providing excellent body contouring and pressure relief. These micro-coils are stronger in the lumbar zone and around the perimeter, offering enhanced back support and durability. This layer ensures that the mattress can adapt to different body shapes and sleeping positions, providing targeted relief where it’s needed most.

  1. Breathable Cushioning with Less Motion Transfer (Transition Layer)

Innovative 2″ Rx Foam Module™ forms the core of the mattress’s transition layer. This proprietary foam is infused with cooling graphite and phase-change material, offering a cooler sleep experience than traditional memory foam. The open cell structure of the foam allows for optimal breathability, while the modular design improves motion isolation and body contouring, ensuring that movements on one side of the bed do not disturb the other side.

  1. Responsive Feel & Great Edge Support (Support Core)

Its support core features an 8″ pocketed comfort coil unit made from triple-tempered recycled steel. These 578 coils (in a queen size) provide a responsive feel and superb pressure relief by automatically adjusting to every curve and movement of the body. Firmer caliper spring coils around the perimeter enhance edge support, making it easier to get in and out of bed and increasing the usable surface area of the mattress.

  1. Stable Base (Base)

The base of the mattress is an eco non-woven layer applied below the pocketed comfort coil unit. This layer stabilizes the individual coils, ensuring the mattress remains supportive and durable over time. This base layer provides a solid foundation for the entire mattress structure, enhancing its longevity and overall performance.

Saatva Rx Mattress is a masterpiece of sleep technology and design. It features a sophisticated layering system that combines luxurious comfort with therapeutic support. Each of the seven layers works harmoniously to relieve chronic pain, enhance spinal alignment, and ensure a cool, restful sleep. The use of eco-friendly materials and innovative technology sets Saatva Rx apart as a top choice for those seeking both comfort and health benefits in their mattress.


Saatva Rx Mattress
Materials & Construction (1=Least, 5=Best) (4.75/5)
Repositioning (1=Least, 5=Best) (4.75/5)
Comfort (1=Least, 5=Best) (4.75/5)
Cooling (1=Least, 5=Best) (4.75/5)
Motion Isolation (1=Least, 5=Best) (4.50/5)
Edge Support (1=Least, 5=Best) (4.50/5)
Overall Rating 4.67/5
Rating Scale: 1 = Average, 2 = Good, 3 = Very Good, 4 = Excellent, 5 = Winner



Q1. How would you rate Saatva Rx Mattress from a repositioning & responsiveness perspective? 

Repositioning & Responsiveness

  • From a repositioning and responsiveness perspective, Saatva Rx Mattress performs exceptionally well. Here’s a detailed look at the key features contributing to its performance:


Saatva Rx Mattress features an 8″ pocketed comfort coil unit made from triple-tempered recycled steel. These individually pocketed coils provide a highly responsive feel, quickly adjusting to your body’s movements and contours. This ensures that the mattress offers consistent support and comfort, no matter your sleeping position. The coils’ responsive nature also means that the mattress adapts quickly when you change positions, making it easier to find a comfortable spot and reducing any feeling of being “stuck” in the mattress.


The combination of a 1″ micro-coil layer and high-density foam layers ensures that the mattress provides both the plush comfort and necessary support to facilitate easy repositioning. The micro-coils are more flexible than traditional springs, conforming closely to your body while providing strong support. This flexibility aids in smooth transitions between different sleeping positions without disturbing your sleep.

Saatva Rx Mattress also excels in motion isolation due to its innovative 2″ Rx Foam Module™ and the micro-coil layer. Rx Foam Module™ features an open-cell structure infused with cooling graphite and phase-change material, which not only aids in temperature regulation but also minimizes motion transfer. This means that movements on one side of the bed are less likely to be felt on the other, contributing to a more restful sleep for both partners.

Saatva Rx Mattress offers superior responsiveness and ease of repositioning, making it an excellent choice for those who frequently change sleeping positions or share the bed with a partner. Its combination of advanced coil systems and high-quality foams ensures that it provides the right balance of support and comfort, enhancing the overall sleep experience.

Comfort, Back Support, Pressure Relief


Q2. How would you rate Saatva Rx Mattress for providing comfort and pressure relief to sleepers? 

  • Comfort & Pressure Relief

Saatva Rx Mattress excels in providing comfort and pressure relief, making it an ideal choice for sleepers, especially those with chronic back and joint conditions. Here’s a detailed assessment:

  • Comfort:

Saatva Rx Mattress offers a plush, supportive sleep surface that instantly relieves pressure points. The top layer features naturally breathable organic cotton, which adds to the overall comfort by keeping the sleep surface cool and soft. The mattress’s overall construction ensures a luxurious and restful sleep experience, catering to various sleep positions, particularly side sleepers who benefit from the plush feel.

  • Pressure Relief:

Several key features of the Saatva Rx Mattress contribute to its exceptional pressure relief:

  • Gel-Infused Memory Foam Lumbar Crown (1/2″): This layer actively draws heat away from the body while providing targeted support to the lower back. The gel infusion helps prevent heat buildup, and the memory foam offers excellent contouring to reduce pressure on sensitive areas like the hips and shoulders.
  • High-Density Foam Layers (2 ¾”): These layers encase the micro-coil comfort layer, cradling the body while offering optimal support. The high-density foam provides a cushioned feel, distributing weight evenly across the mattress to alleviate pressure points.
  • Micro-Coil Layer (1″): With 1,628 micro-coils, this layer offers more flexibility and body contouring than traditional coils. The micro-coils conform to the body’s curves, providing targeted pressure relief and enhancing comfort. Stronger micro-coils in the lumbar zone and perimeter offer additional support and durability.
  • Therapeutic Support Core™ (2″): Featuring the Rx Foam Module™ and pocketed coils, this layer ensures superior pressure relief by adapting to the body’s movements and reducing motion transfer. The proprietary foam, infused with cooling graphite and phase-change material, enhances comfort while keeping the sleep surface cool.
  • Pocketed Comfort Coil Unit (8″): The pocketed coils provide responsive support, adjusting the body’s movements and maintaining spinal alignment. Firmer coils around the perimeter enhance edge support, ensuring consistent comfort across the mattress.

Saatva Rx Mattress combines advanced materials and innovative design to deliver outstanding comfort and pressure relief. Its multi-layer construction ensures that sleepers experience a balance of plush cushioning and robust support, making it a top choice for those seeking relief from chronic back and joint pain.

Cooling & Temperature Control


Q3. How would you rate the cooling and overall temperature control characteristics of Saatva Rx Mattress?

The mattress’ temperature control is comparable to most high-quality hybrids on the market, featuring a breathable cotton cover and a wool flame barrier that help regulate surface temperature.

The support core includes several temperature-regulating features. Rx Foam Module boasts an open-cell structure that is more ventilated than traditional polyfoam. It also contains graphite infusions and thermally conductive fibers designed to enhance cooling.

Motion Isolation and Sharing a Bed


Q4. Does Saatva Rx Mattresses provide reasonable motion isolation when sharing a bed with others?

  • Motion Isolation

Yes, Saatva Rx Mattress provides excellent motion isolation, making it a great choice for couples or those who share a bed. The mattress features a combination of advanced materials and design elements that significantly reduce motion transfer. The 2″ Rx Foam Module™ is a key component in this regard, with its open-cell structure and infusion of cooling graphite and phase-change material. This foam effectively absorbs and isolates motion, preventing it from traveling across the mattress.

1″ layer of 1,628 micro-coils responds independently to pressure, further containing and isolating movement. The 8″ pocketed comfort coil unit, with individually wrapped coils, also plays a crucial role in minimizing motion transfer. These coils move independently, helping to isolate movements on one side of the bed from the other. High-density foam layers encase the micro-coils, adding stability and absorbing the impact of movement. Together, these features ensure that partners are less likely to be disturbed by each other’s movements, resulting in a more peaceful and undisturbed sleep.

Edge Support


Q5. How would you rate the edge support of Saatva Rx Mattresses?

  • Edge Support

Saatva Rx Mattress’s edge support is exceptional, thanks to several key design features. The mattress incorporates firmer caliper spring coils around the perimeter, which significantly enhance the edge support. These firmer coils provide a stable and supportive edge, ensuring the mattress maintains its shape and firmness even when pressure is applied to the edges.

The high-density foam encasement surrounding the micro-coil layer further reinforces the edge support. This design prevents sagging and ensures the mattress offers consistent support from edge to edge. Whether sitting on the edge of the bed or sleeping near the perimeter, Saatva Rx Mattress provides reliable support, making it easier to get in and out of bed and maximizing the usable sleep surface. The firmer perimeter coils and high-density foam encasement make Saatva Rx Mattress a top performer in edge support.

Recommendation based on sleeping style

Saatva Rx Mattress for Side Sleepers:

Saatva Rx is an effectove choice for side sleepers across different weight categories. Its design, featuring a polyfoam-encased micro coil layer and a memory foam lumbar pad, effectively cradles the hips and shoulders while maintaining proper spinal alignment.

Unlike some soft mattresses that can compress excessively for side sleepers over 230 pounds, Saatva Rx performs admirably. The robust triple-tempered steel coils provided ample support, preventing the hips from sinking too deeply and ensuring a neutral spine position.

Saatva Rx Mattress for Back Sleepers:

For back sleepers weighing under 230 pounds, Saatva Rx offers well-balanced contouring. The memory foam lumbar pad is key in promoting spinal alignment, while the micro coils provide a comfortable cradle for the shoulders and legs. Rx Foam Module contributes to gentle contouring of the lower back without excessive compression, and the dense pocketed coil core effectively limits sinkage below the torso area.

However, our back sleepers weighing over 230 pounds were less enthusiastic. They expressed a preference for a firmer mattress that would better maintain level shoulders and hips.

Saatva Rx Mattress for Stomach Sleepers:

Stomach sleepers weighing under 130 pounds find Saatva Rx supportive enough. However, overweight sleepers may sink too deeply around the midsection. Despite pocketed coils, sleepers weighing above 130 pounds may find the mattress overly soft, raising concerns about potential back and neck strain.

Concluding Remarks

Saatva Rx Mattress is a personal wellness retreat for your back. This mattress is like having a supportive friend there for you, especially on those tough days when your back is acting up. It’s not just about sleep; it’s about waking up feeling refreshed and ready to take on the day.

This mattress is not everyone’s cup of tea, especially a light sleeper who loves to sink into a soft bed. But it’s a game-changer for those who need that extra bit of support.

Plus, with a whole year to decide if it’s the right fit and a promise to back it up for a lifetime, it’s like having a safety net for your sleep.

So, if you’re looking for a mattress that meets your comfort and support needs, Saatva Rx might just be the ticket to dreamland.


Size Price Sale Price Discount
Twin $1995 $1795 10%
Twin XL $2195 $1895 14%
Full $2995 $2695 10%
Queen $3295 $2945 11%
Cal King $3795 $3395 11%
King $3795 $3395 11%
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