MADE IN THE USA. Use the orange "Customize It" button above to upload your own text, photo or artwork to create a unique "make it yourself" lumbar pillow. This American-made product is handmade from natural fibers by sustainably employed single moms - sweet! DIY to your heart's content: add your fave photo or change the background color and use the text button to add your name, a favorite saying or a cool quotation. It's easy as 1-2-3 to design your very own wonderful home décor creation. Suitable for any gender, age or occasion. Create one for yourself or as a special one-of-a-kind gift for that special person ~ they'll LOVE it!