Sammi Therapeutic Pillow - Generation 1 Premier Model is 100% cotton and cool to the touch. It has a detailed quilted pattern depicting the earth on the base with an open sky and circle patterns. The internal structure has five walls with separate compartments to control of the buckwheat flow away from a middle space to rest your head. A removable neck liner with three additional pockets can be customized to your body contour and individual neck support needs. Available in Medium and Large, this premier pillow offers natural healing power promoting good health and tranquility with a good night's rest.