Hi, I'm Michael J. Lindell, Inventor, Manufacturer, and President of MyPillow, Inc. I have developed one of the few US Patented Pillows made 100% in the USA. My unique design allows you to choose from 5 different lofts allowing MyPillow (your pillow) to adjust for your maximum comfort. It is washable and dryable. Best of all, it has a 10-year warranty guaranteeing IT WILL NOT GO FLAT! The medical grade, patented foam I use is anti-microbial and non-allergenic with no off-gasing. I use a dust mite resistant ticking used on pillows that cost twice as much, and... it stays cool!