We designed Dr. Scholl’s Comfort Heel Cushions especially for people who experience discomfort in their heels and want extra cushioning. Built with Massaging Gel Technology, they provide all day cushioning. The package contains one pair of gel cushions to fit women's shoe sizes 6-10. Dr. Scholl's has been a trusted brand in foot care since 1904 when Dr. William Mathias Scholl, grandson of a cobbler, launched the company under the name Dr. Scholl Inc. 1- Place gel heel cushions on top of your current insole 2- No trimming required 3-Replace every six (6) months or at first sign of wear Replace after 6 months or at the first sign of wear.