Shaped to fit Oakworks Advanta, Starlight protech etc. Includes hole for insertion of headrest. All couch covers are elasticated to fit snugly and have studded tapes to keep in place during treatment. If you order carefully, your couch cover will fit beautifully without being over-stretched or baggy. Sizes are up to a 73"(182mm) long couch. Please supply own measurements when ordering i.e if narrow etc.