In general, a neck pillow is considered a personal item on an airplane , and passengers are typically allowed to bring it on board in addition to their carry-on overhead luggage and a personal item like a backpack or purse.
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Neck and head pillows can be carried on the aircraft as long as they fit completely in your personal item bag. In some cases wheelchairs, car seats and strollers may be checked or carried on free of charge.
Pillows are permitted in both carry-on bags and checked bags, according to the TSA's website. But while you'll have no problem bringing a full-size pillow through security, it's up to the airline to decide if it counts as your personal item.
Blankets are considered a personal item by most airlines and will be treated much in the same way as a jacket would. It is best if your blanket is compact and can fit into your carry on bag for storage if not in use. Plus, if your blanket can fit in your carry on bag it will not count as a personal item.
Airlines' are more strict with the size and weight of your personal item if they even publish rules. Most importantly, your personal item must fit under the seat in front of you. You can, in general, bring one carry on and one personal item with you onto the plane.
According to their website, they don't have any problems with pillows. Pillows aren't seen as a security risk. So you can bring your pillow on the plane, pack it in your checked luggage, or pack it in your carry-on bag - according to the TSA.
Sharp objects (scissors (except for nail scissors), knives, straight razors, and safety razor blades, etc.) Sporting equipment. Self-defense items like pepper spray or brass knuckles. Tools of any kind.
Pillows generally don't count toward your carry-on or personal item limit, so filling a pillow case with clothing or other items is a smart “hack” to beat extra baggage charges.
According to Lonely Planet, there are two options. They're either washed at an industrial facility via a laundry service that is contracted by the airline, or they are laundered at the airline's home-base airport.
Thankfully, one mom shared a solution. Instead of lugging around the entire large pillow, only bring the cover. Then, once you are on the plane, ask a flight attendant for either a couple of pillows or blankets to stuff it enough so that it is usable.
Usually, many airlines won't check every carry-on but will instead go for ones that look oversized. If your luggage does not fit in the sizer, you might have to pay a checked bag fee along with the gate checking fee and have your bag transferred to the airplane's cargo.
So, yes, if your backpack is small enough that you can fit it under the seat in front of you, then it's a personal item. This designation becomes especially important when you're flying on a low-cost carrier or have booked a basic economy ticket on a larger airline.