My DD will be 3 in Oct. She still insists on using her toddler pillow she's had since about 18 months old. Probably a comfort measure. Any time I suggest using a "big girl" pillow, she does not go for it. I have even had her go with me to pick out her own pillowcase, but it does not work. The poor pillow is about the size of a postage stamp relative to her head now, and is so flattened out, that it can't provide any real support. It certainly is not an issue that I worry much about, but I just wonder if anyone has any suggestions? I think she is intimidated by the size of the standard pillows, has anyone ever seen anything smaller?