Pillow cover made from a hand-embroidered huipil or blouse from Nebaj, Guatemala. The round portion in the middle would have been the head opening. It measures 18" X 18", with a zipper closure. Each pillow is one-of-a-kind so that if you order 2 or more of this pillow, we will do our best to match colors but each is unique. Insert not included with cover. 18" x 18"