Abstract: A generally rectangular pillow (2, 2', 2") has a rounded forward neck support portion (10, 10"), a rear head support portion (12, 12', 12"), side portions (24), and a bottom portion (26, 26"). An oblong hollow (30) is formed in the top surface (6) of the pillow body (2, 2', 2"). The hollow (30) accommodates the lower portion of the face of a user lying in a side position to prevent pressure on the face. A projection (42, 42") extends forwardly from rear portion (12, 12', 12") into hollow (30). In use, the rear portion (12, 12', 12") has a central depression for the top of the user's head. The depression is formed by contouring the top surface of the rear portion (12, 12') or by reducing the density at the center of the rear portion (12"), such as by forming an internal cavity (44). A pillowcase (50) has central edges (56, 58) that are fastened to bottom portion (26) to leave hollow (30) unobstructed.