Thank you for viewing. This is a recommended item I found while searching for solutions when my child developed a flat head (plagiocephaly) due to improper sleeping position, and I chose not to pursue helmet therapy. *Please note that plagiocephaly can sometimes be caused by a condition where part of the skull fuses prematurely. Do not self-diagnose; consult a specialist at a hospital to rule out any abnormalities.* This is a soft baby pillow with a bear ear design, and it's washable with a zipper. There is a stain on the tag, but the main body is clean. It was used a few times and stored at home. I purchased this because I was concerned about my child's head shape. The indentation in the center has no cushioning, so you'll need a blanket or something underneath. However, I used it to adjust the head position, placing the bulging part of the head down to try and reduce the bulge caused by plagiocephaly. ...To be honest, I'm not sure how effective it was! I also tried various chiropractic treatments, but as they grew, the indented areas seemed to naturally fill out, and the head shape improved somewhat. However, the severely indented areas remained somewhat unchanged. I still wonder if I should have done helmet therapy... but now they are 7 years old. It's not noticeable except when they wear their hair in pigtails. I've since had two more children, and it seems their head shape is mostly determined within the first two weeks of life. If you let them sleep on a donut pillow or a soft surface, the subsequent children were fine. - Design: Bear ear design - Zipper: With zipper - Material: Soft fabric Shipping included Bear Baby pillow Newborn Head shape