The only reversible, seamless gel pad made for the Ballerina. One side is gel, and the other is a seamless Coolmax fabric. Can be cut to fit. Made in the U.S.A. Original Pillows for Pointes dance product. FITTING GUIDE: SM/MED = Wos. Dhoes sizes under 7.5; LG/XL = Wos shoe sizes 8 and up.