Drive city bus and the seats are injuring me. Have some comfort from the cushion. If my employer and I had only known of roho previously I would not be hurting so much. Update! This product would work well for someone wanting to gain some comfort measures and pressure from driving long hours. With my recent diagnoses of Coccydynia it does not provide the ability to heal. Good product forwhat it is intended though. And yes it comes with a pump and cover.