Finding an all cotton mattress pad at a reasonable price is not an easy task, but this one fits the bill.  Mattress pads with synthetics are hot to sleep on and we post menopausal women don't need the extra heat.  This pad is made well, sturdy cotton fabric, fits our queen bed well. It has good, stretch corners for ease putting it on.  I deducted one star because, though I specified that I wanted Made in USA, when it arrived, the fact label said Made in China.