The front of this pillow is quilted. Each square was cut out by hand and then the  squares were hand pieced together to make the cross design.  After quilting the design I free motion quilted the horizontal design on the pillow. The quilting process for the front took about 48 hours. It is hand crafted and all the squares were strategically placed. The fabric includes premium quilt cotton solids from Robert Kaufman.  It also features some retired premium quilt cotton fabrics from Tula Pink that were manufactured during her time producing fabrics for Free Spirit. Fabrics. This cover is removable but also includes the pillow form inside. It measures approximately 18x18.