Abstract: A suboccipital pillow 10, for applying hot and/or cold treatments to the neck and suboccipital areas is provided, having a generally crescent shape, one side of which is fitted with a lightly insulated pocket 15a and the other side of which is fitted with a heavily insulated pocket 12a. Pillow 10 is filled with a soft cushion, such as a polyester fiber batting. Both pockets 12a and 15a have triangular tongues 16 and 17 attached to their open sides. Tongues 16 and 17 overlap and attach one to the other via a suitable fastener. A crescent shaped gel pack 21 is provided which may either be cooled in a refrigerator or freezer or heated in boiling water or in a microwave oven. After gel pack 21 has reached the desired temperature it is inserted in the appropriate pocket and the pocket is closed by overlapping and fastening the two tongues 16 and 17.