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They can help a bit, mainly by moving heat away from your face at the start of the night. Most “cooling” comes from the cover fabric or gel layer, but it is not the same as cooling the whole bed. If your room is warm or you sleep very hot, it helps most when paired with breathable bedding and good airflow.
Yes, usually. A thin, breathable pillowcase protects the pillow and is easier to launder. Use cotton percale, bamboo viscose, or a lightweight knit. Avoid thick flannel cases because they can block the cooling surface. If the pillow has a special cooling cover, keep that cover on and put the case over it unless the brand says otherwise.
In most cases, no. Machine washing can break down the foam, trap water inside, and cause tearing. The common approach is to remove and wash the cover, then spot clean the foam with mild soap and a damp cloth, and air dry it fully.
Not special, but keep it gentle. Use a mild, low residue detergent for spot cleaning, and avoid bleach and heavy softeners. Strong cleaners can leave residue and accelerate foam breakdown or odor retention if not rinsed well.
For many people, yes. They are lightweight, typically hypoallergenic, and easy to maintain. The main drawback is longevity. Lower grade microfiber can flatten sooner, so hotels usually choose higher fill weight or better fiber types and plan a predictable replacement cycle.
A buckwheat pillow is filled with buckwheat hulls, so it feels more structured than a fiber pillow. The big benefits are adjustability, strong neck support, and airflow between the hulls, which can feel cooler. The tradeoffs are weight and noise, plus a firmer feel that not every guest likes, so it is often better as an optional pillow menu item rather than a standard room pillow.