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The Original Pillow with a Hole was created by us based on our own experience of constant night-time pain and discomfort. We know what it is to suffer nightly from lack of sleep, so we created a solution. And what an effective solution it turned out to be. The Original P.W.A.H® works by removing pressure and friction from the ear. If you can think of a situation where this will help you, such as sleeping with earbuds or earplugs, this pillow may be for you. Please take a look at our testimonials to read about the successes enjoyed by our customers. All of our pillows are made to order. Furthermore; they are and always will be made in England from high quality materials.