We will create a custom lumbar throw pillow for you! Please message to discuss what kind of font/design you would like after purchasing & we will send you proofs of the design before making. This 12x18 throw pillow is high quality, super cozy, and made with care by a crafty mama in the USA. Our linen + polyester blend pillow cover features an invisible zipper and professionally serged interior seams. All designs are printed and designed by Melissa of 521handmade in her studio. Pillows are packaged individually in clear plastic to keep clean during transit. Choose if you would like a pillow insert from the drop down menu. We use a luxurious synthetic down insert which feels like actual down, but is hypoallergenic. Pillow covers & pillow inserts are machine washable!