I.C.E. DOWN is manufactured in the USA. Our policy has been and will remain to produce the highest quality state-of-the-art health care products possible. Only the highest quality materials and technology available go into the manufacturing of I.C.E. DOWN. It is the only cold therapy product ever to receive an endorsement from the American Physical Therapy Association. Professional sports teams in the NFL, NBA, Major League Baseball, teams in the World Soccer League and individual professional and amateur athletes have used I.C.E. DOWN cold therapy wraps. Cold therapy is now used to treat conditions such as pleurisy, migraine headaches, stroke, and autoimmune-related disorders. I.C.E. DOWN is distributed and sold throughout the U.S. and in over 17 countries around the world. It is used and dispensed by orthopedic surgical centers, physical therapy clinics, chiropractors, and hospitals, and sold over the Internet.