Most of us (myself included) that toss and turn also do that in beds at home, but manage to keep covered and sleep well enough I have only spent one night in below 40F with my quilt and it worked great. I also prefer to sleep in underwear only so for me the only downside is either sleeping directly on my air matteress or having to bring a sheet of some sort. But for sure "to each his own" and if you don't plan your sleeping gear well and sleep comfortably trips jus aren't as fun. On this subject I have also learned a heavier but more comfortabe mattress is worth the extra weight!