US customers.. This item is DDP (Delivered Duty Paid). I will take care of the new import tariff set by the US before shipment, ensuring a hassle free experience with no surprise cost to you, ensuring a smooth delivery. Brand new design & totally unique to my Etsy shop, & is not available anywhere else & i'm very proud of my design. Fully lined 2 in 1 heart pillow combining the necessary seatbelt pillow with a heart shaped support recovery pillow, all you need for comfort & protection & designed specifically for use after heart surgery. The pillow covers a wide area so it is perfect for travelling home post surgery to help with the discomfort & protection from your seatbelt whilst in a car. It then doubles up as a surgery recovery pillow to ease pain, supports your sternum & alleviates the discomfort from coughing & sneezing when held close. Also offers the much needed comfort post op, protects incisions & stitches & is incredibly useful to sleep with, helping with a calm & restful nights sleep. Finished with a lined pocket to place the optional reusable heat/ice gel pack for additional pain relief. The pillow is fully lined throughout for superior quality & generously filled with high grade super soft teddy bear filling (polyester hollowfibre) The filling complies with British Fire Safety Regulations. Please note as this is a cardiac pillow it is filled with more filling than a typical recovery pillow for other procedures. This is necessary due to the intended purpose of the pillow. Measures a generous 31cm x 31cm, approx. Please note the model is a UK size 8. Machine wash @30c. Cardiac 2 in 1 Heart Surgery/Seatbelt Pillow Post-Op Recovery Cough Cushion Transplant Gift Open Surgery 70 Fabrics