You had to ASK for the pillow!?!? I must of had great techs - they always had a pillow, actually a triangular wedge for under the knees. They also gave me a pillow for my butt when I lost all of the weight and had no fat left (along with a couple of heated blankets - first class operation). My mask was so tight in the beginning it left a scale like impression so I took a digital photo and colorized it green - I looked just like the Creature from the blue lagoon. It'll loosen up.