Top of the line luxury made for The Clean Bedroom by Royal-Pedic of Beverly Hills, the company that has been making mattresses for royalty, two U.S. presidents and much of Hollywood since 1946. The Royal Pedic Natural Organic Pillowtop Pad provides extra cushioning, luxurious comfort, and additional pressure point relief to hips and shoulders for the utmost in rest and relaxation. The pillowtop pad lays right on top of the mattress and then the mattress pad and fitted sheet go over both the pillowtop and the mattress itself, holding the pad in place. Royal Pedic Natural Organic Latex Pillowtop Pad – 3″ and 4″ Thick Contains more natural latex and is thicker than the standard mattress topper, providing extra cushioning and pressure point relief — you deserve to be this pampered. Made in the USA.