This product is brand new, however, the plastic wrapping on the top has a little bit of wear and tear. Nothing significant, but must disclose One side gives optimal support for side sleeping and the other for back sleeping. The cushioning memory foam is like a surprisingly supportive cloud that keeps the same comfy temperature all night. Article Number 204.467.74 Product details If you are a side sleeper, have the larger side facing up. The negative wedge space creates a pocket for your shoulder giving head and neck good support and reducing pressure on your shoulder. If you are a back sleeper, have the smaller side facing up. The slope provides support for the neck and neck muscles, letting you relax. Although each side is designed specifically for either side or back sleep, the foam adapts to sleepers who transition from side to back or back to side during the night. Small holes in the memory foam core allow air to circulate and wicks away moisture to keep you comfortable. Choose this ergonomic pillow if you are a back or side sleeper. The soft fabric cover breathes and wicks away moisture. The cover is easy to remove and machine-wash at 140°F (60°C). This keeps your pillow nice and fresh, and wards off unwanted dust mites. Designer IKEA of Sweden Measurements Length: 17 " Width: 26 " Height: 5 "