A body support pillow assembly is provided for holding a person in an upright position facilitating eating, performing certain tasks, or inhibiting acid reflux. The assembly includes a wedge having a top surface and a bottom surface. A pair of opposed side walls is coupled to the wedge and each of the side walls extends upwardly from a perimeter edge of the upper surface of the wedge. A pair of opposed arms grooves is provided. Each arm groove is positioned in a respective one of the side walls. A neck support is coupled to and extends between upper ends of the side walls.