This beautiful, Changmai cotton textile is full of ethnic character. Handmade, and hand-dyed using natural materials, such as plants. with batik patterns that are applied by hand. Sourced directly from hill tribe communities in the Chiangmai & Chiangrai regions of Northern Thailand. Each piece is hand-sewn and hand-dyed. The back of the pillow is made from natural linen. Genuine leather for the handles. Dry clean. Handmade in Oregon, USA. Premium custom made in USA Down insert included!