I bought this pillow because the outside is organic cotton and it's washable. I don't currently use a pillowcase as I don't need one and the pillow itself is very soft. My daughter loves this pillow and I love the fact that I can wash it every week to keep it clean. A few reviewers mention that there is no filling inside either, and I agree with them. But it gets better when I shake the pillow and also after every wash and dry. It is neither flat nor big. Bottom line is, my daughter loves it and sleeps well on it. But it's a bit expensive for a small pillow. I wish they included a pillowcase for the price.
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