The Putnams Royal Pillow is designed to cradle your head and support your neck while it correctly aligns your spine, whether you sleep on your front or on your back. The sculpted surface encourages correct positioning to reduce neck pain and improve posture. You may need to practice a bit to find the perfect position but fans of this pillow buy them time and time again and swear by its superior comfort which banishes neck pain. We love the soft, washable cover included with the pillow. But, if you prefer, you can slip it into a standard pillow case.