Below are the 2025 best mattresses based on several criteria.

The criteria include endorsement by the ACA, the American Chiropractic Association, which says they make endorsements on the basis of “rigorous review and testing.” See: https://www.acatoday.org/about/endorsements/

An additional criterion is GOTS certification, which is Global Organic Textile certification, which is a certification for textiles made from organic fibers and which verifies that an entire supply chain meets strict environmental and social requirements. See: https://global-standard.org/

Also highlighted are recommendations made by actual spine surgeons, who include: Dr. Gbolahan Okubadejo, orthopedic spine surgeon Dr. Nick Shamie, orthopedic spine surgeon https://www.marketwatch.com/picks/these-are-the-mattresses-that-6-sleep-experts-including-2-spine-surgeons-actually-sleep-on-each-night-1d4bc32a

Three mattresses meet more than one criterion.

Avocado and Magniflex meet two criteria including a previous ACA endorsement, together with GOTS certification.

Casper also meets two criteria, which is ACA endorsement, as well as recommendation by a spine surgeon.

	ACA Endorsement	GOTS___________	Spine Surgeon__
Avocado Green	X	X
Big Fig	X
Brooklyn Bedding	X
Casper	X
Cloverlane	X
Dreamcloud	X
Helix	X
Magniflex	X	X
Nectar	X
Novilla	X
Puffy	X
Saatva	X
SweetNight	X
Naturepedic		X
My Green Mattress		X
Sleep on Latex		X
The Natural Latex Company		X
Holy Lamb Organics		X
Mountain Top Foam		X
Jeffco Foam		X
Sealy: Posturepedic Hybrid			X
Casper: Dream Hybrid	X		X
Cocoon by Sealy: Chill Memory Foam Mattress			X