Saatva Rx Review

Anna Keller
Chief Sleep Researcher
May 23, 2023
Experts Rating:

Saatva Rx is a unique mattress designed with medical input to promote better sleep and overall health. Combining innovative construction techniques with high-quality, sustainable materials, this mattress provides exceptional comfort, support, and cooling features.


Developed with chiropractic input, Saatva Rx is designed to promote spinal alignment and offer superior back support.

Saatva Rx's commitment to sustainability is reflected in its use of eco-friendly materials such as organic cotton and recycled steel.

Offering plush soft, luxury firm, and firm options, Saatva Rx allows customers to select their desired comfort level.


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You want a mattress with medical input

You value eco-friendly materials

You want a choice in firmness levels

You want quality in your mattress

You prefer a mattress with back support

You love a comfortable feeling while you sleep


You prefer a foam-only mattress

You're on a tight budget

You prefer a mattress with no bounce


The Saatva Rx is a unique offering in the market, designed with medical input to provide optimal spinal alignment and promote a healthier sleep experience. It's a hybrid model combining a coil-on-coil innerspring system with a plush Euro pillow top, and eco-friendly foams, all encased in an organic cotton cover. With three firmness options—plush soft, luxury firm, and firm—there is a comfort level suitable for every type of sleeper.

Comfort & Firmness

The comfort and firmness of the Saatva Rx are highly customizable, with options to cater to a broad range of preferences. The plush soft option is ideal for side sleepers or those who prefer a softer feel, the luxury firm strikes a balance between comfort and support, and the firm is best suited for stomach and back sleepers who need extra support. Regardless of the firmness level chosen, the Saatva Rx provides excellent pressure relief and body contouring.

Sleep Temperature

The Saatva Rx excels at sleep temperature regulation. The coil-on-coil construction promotes airflow, preventing heat build-up and ensuring a cool sleep environment. The organic cotton cover is also breathable and helps wick away moisture, while the gel-infused memory foam layer further helps with heat dissipation.


The Saatva Rx's multiple layers are intelligently designed for both comfort and support. Starting from the top, the organic cotton cover is soft, breathable, and hypoallergenic, ensuring a cozy and irritation-free surface for the sleeper. Next is a plush Euro pillow-top layer, which is quilted with eco-friendly foam for extra cushioning and pressure relief.

Underneath the pillow-top, there's a layer of high-quality, slow-response memory foam that conforms to the sleeper's body shape, reducing pressure points and offering superior comfort. It's followed by a layer of active wire Lumbar Zone technology for enhanced back support and optimal spinal alignment.

A key feature of the Saatva Rx is its dual-coil system. The first coil layer features individually wrapped micro-coils that adapt to the body's shape and movement, offering precise contouring and limiting motion transfer. The second coil layer includes tempered steel coils that provide excellent support, durability, and breathability, thanks to the open-coil design that promotes air circulation.

At the base, a high-density foam layer enhances edge support and overall durability. This comprehensive layering not only ensures a comfortable sleeping experience but also caters to a variety of sleeping styles and body types.

Back Support

In collaboration with doctors, the Saatva Rx was designed with a specific emphasis on back support. The mattress's Lumbar Zone technology and coil-on-coil system work together to provide enhanced lumbar support, promoting healthier sleep posture and reducing the likelihood of waking up with aches and pains.

The top layer of individually pocketed micro-coils offers targeted support and pressure relief, contouring to the body's curves and adapting to movements throughout the night. The bottom layer of sturdier steel coils offers more profound, robust support, ensuring proper spinal alignment and eliminating the risk of sagging.

By efficiently distributing body weight and keeping the spine aligned, the Saatva Rx effectively reduces pressure on the lower back, making it an excellent choice for those who suffer from chronic back pain or have been advised to pay special attention to their sleep posture.

Sagging & Edge Support

The Saatva Rx does an excellent job of mitigating sagging over time, thanks to its robust coil-on-coil system and high-density base foam. These materials work in unison to maintain the mattress's shape and integrity, even with extended use.

As for edge support, the Saatva Rx excels here too. The high-density foam encasement around the mattress periphery offers robust edge support, allowing sleepers to utilize the full surface of the mattress without experiencing a significant degree of compression when sleeping or sitting on the edge. This feature also makes getting in and out of bed easier, adding to the overall convenience of using this mattress.

Motion Isolation

Despite being an innerspring mattress, which traditionally offers less motion isolation compared to all-foam models, the Saatva Rx does an impressive job in this aspect. The top layer of individually wrapped micro-coils responds separately to pressure, meaning movement on one part of the mattress is less likely to disturb other areas. This design feature makes Saatva Rx an excellent choice for those who share a bed and wish to minimize disturbances when one partner moves or gets up during the night.

Cover Fabric Quality

The Saatva Rx's cover is made from organic cotton, a material known for its softness and breathability. This high-quality cover not only feels luxurious to the touch but also enhances the mattress's cooling capabilities by promoting airflow and wicking away moisture. Hypoallergenic and durable, the cover adds to the overall quality and longevity of the mattress.


The Saatva Rx is designed for longevity. Its construction, featuring a dual coil system and high-density foam base, provides a durable foundation that prevents sagging over time. The top-quality memory foam, coupled with the organic cotton cover, also contributes to this mattress's robustness, promising several years of comfortable use.

This mattress's durability is further testified by Saatva's generous 15-year warranty. During the first two years of the warranty, Saatva will replace a defective mattress for free. For the remaining years, Saatva offers a prorated replacement cost, indicating confidence in their product's durability and long lifespan.

Sleep Temperature

Temperature regulation is one of Saatva Rx's strengths. The coil-on-coil construction promotes excellent airflow, effectively dissipating heat and maintaining a cool sleeping environment. The organic cotton cover complements this by being breathable and wicking away moisture.

For those who sleep hot or live in warmer climates, this mattress's ability to regulate sleep temperature can significantly enhance sleep quality and comfort.

Value for Money

Despite its luxury status, the Saatva Rx offers substantial value for money given the remarkable quality, innovative design, and overall comfort. The use of premium materials, the exceptional craftsmanship, and the attention to detail when it comes to health and sustainability contribute to a high-end sleep experience that justifies the price point.

Furthermore, the unique health-centric design approach, developed with medical input, adds an extra layer of value to this mattress. For those seeking optimal spinal alignment and superior back support, the Saatva Rx's value is unmatched.

This mattress is not just a bed—it's an investment in healthful, restorative sleep. When you consider the mattress's potential to improve sleep quality and mitigate health issues such as back pain, it's evident that the Saatva Rx offers excellent value for its price.

Customer Service

Saatva has earned a strong reputation for its customer service. The company offers free white-glove delivery service, which includes not only transporting the mattress to your home but also setting it up in your bedroom and removing your old mattress if needed. This service is an added convenience that enhances the overall buying experience.

Additionally, Saatva's customer service team is responsive and committed to ensuring customer satisfaction. The company offers a 180-night sleep trial, during which customers can return the mattress for a full refund if it doesn't meet their expectations. This demonstrates Saatva's confidence in its products and commitment to customer satisfaction.


The Saatva Rx stands out in the crowded mattress market with its unique approach to sleep health. Its construction boasts medical input, resulting in a design that promotes spinal alignment and alleviates back pain. Combined with the use of eco-friendly materials and an impressive range of features—including excellent back support, superior cooling, and motion isolation—this mattress delivers a luxurious sleep experience.

While the Saatva Rx falls into a higher price bracket, it justifies this with its high-quality materials, durable construction, and health-centric design. Whether you're a back sleeper, stomach sleeper, or someone who values sustainability, the Saatva Rx is worth considering. With its 180-night sleep trial and 15-year warranty, Saatva gives you ample assurance to make a confident purchase.

Frequently Asked Questions

Is the Saatva Rx good for back pain?

Absolutely. The Saatva Rx was designed with medical input to promote optimal spinal alignment and provide superior back support, making it an excellent choice for those suffering from back pain.

How does the Saatva Rx compare to other Saatva mattresses?

The Saatva Rx is unique in its focus on sleep health. While all Saatva mattresses are designed for comfort and support, the Saatva Rx has a specific emphasis on spinal alignment and back support, thanks to its design that incorporates medical input.

What is the trial period and return policy for the Saatva Rx?

Saatva offers a 180-night sleep trial for the Saatva Rx. If you're not satisfied with the mattress during this period, you can return it for a full refund minus a nominal transportation fee.

How long will the Saatva Rx last?

While the lifespan of a mattress can depend on several factors including usage and care, the Saatva Rx is built to be durable. Its high-quality materials and robust construction are designed to withstand extended use. Plus, Saatva's 15-year warranty provides long-term assurance of the product's durability.

Does the Saatva Rx sleep cool?

Yes, the Saatva Rx is designed with temperature regulation in mind. Its coil-on-coil construction allows for excellent airflow, and the organic cotton cover is breathable and moisture-wicking. These features work together to help maintain a cool and comfortable sleep environment.

Saatva Rx Pricing