Same fabric all around. The back looks like a sham with the overlapping seam in the middle. The opening is well finished with a zipper

The lumbar pillow is a perfect size. I feel Eastern Accents gives you a pillow that excels your expectations.

These say they are a down lumbar pillow, I got them in the off white ivory color, and thou the cover is ok in the way of soft, the material of it is such a thick stiff material it takes away and you would never know the cushions on the inside are indeed Down which is the whole reason why I purchased it, for a soft squeezable comfortable pillow, that your head could fall asleep on, or your body can fall into it, and mold it to how you need it, but I thnk if they made the pillow cover a bit larger rather then snug to the exact size of the inner pillow then maybe the down would of had room to move around and get air inbetween it and do what it is suppose to which is squish , sink, and be molded to how your head or body needs it to be, I also feel that the cushion could of been a bit larger or else they should name it the Petite cotton down lumbar pillow,

Great pillows. Beautiful and of a high quality. A great purchase

Lovely accent pillow to go with the collection. Great material and very thick