Abstract: A cervical pillow is provided having a multi-component polyurethane foam construction with an upper portion, intermediate portion and foundation portion. The upper portion includes a convoluted support surface preferably having multi-density upwardly extending protrusions and is laminated to the intermediate portion. The intermediate portion is configured having two generally perpendicular channel depressions of equal depth for supporting and stabilizing the head and neck in an anatomically neutral position, the upper portion conforming to the channels and communicating the channel contour to the support surface. Local support adjustment along one channel is facilitated by a cut-out in the intermediate portion which houses a removable insert. The foundation portion includes a removable base to provide adjustable vertical height of the support surface to adapt to a wide range of users.