Do you have a current pillow, or are you looking for a pattern for the pillow itself? There are all kinds of these pillows out there, and they are not in any kind of uniform standard. I have recently had a heckofa time with a pinched nerve in my neck. Just went to a chiropracter today, after massage therapy, steroids, and all manner of other stuff. May I say the chiropractor did more good than anything I've tried so far? Outstanding! I was terrified, but got good recommendations from people I know and went to someone longstanding in town... so, I digress. Sorry. I've been using a neck pillow at night and needed a cover to change out. It is a rice thing and I microwave it which makes it warm, and feels good, but makes it a bit sweaty (sorry, prob TMI). I just traced off the one that fits. They aren't snug (at least this one isn't). The one I got is from BB&B (too lazy and desperate to make one.) It has an original cover made from a minky stuff that feels nice room temp, but when microwaved/heated gets dampish. I can't explain why, no idea, but feels wierd. I used some basic muslin type fabric which makes a smoother cover, heats more uniformly, and was pretty quick and dirty to sew. I just laid the old cover down on paper and traced around it, rolling out the seam allowances to make sure they fit around the pillow. No shaping otherwise. K