Should you desire the option to have a plump cushion behind your head for added comfort or support, then consider the Sitting Pretty Head Cushion which can easily be added or removed for the user. The head cushion can come in handy for example should the user have a hunched back, and their head and neck are not quite touching the back of the chair. Having a cushion, closes the gap, providing them support and comfort. Another reason why someone may opt to have a cushion, is simply they wish to be able to position the cushion behind their neck, as some customers who suffer from neck issues can find relief from an additional cushion behind their neck. If ordering a new chair from us, you select a fabric head cushion, should you have chosen a Ferrera Fabric Chair, or select the Leather Head Cushion if you have purchased any of the leather options. The cushion can be made in any matching fabric or leather option.