We design and make customized gel packs in Dallas, TX. All our products are made in-house. From our home page: "Affordable and fully customizable. Promote your practice with our reusable hot/cold packs and gel pack sleeves. Hand them out to current clients or as samples to prospective clients and partners. Use one our logos or use your own. We always send a proof for approval before anything is officially printed. Note: that the colors are available on all size packs. All our packs and sleeves are made in Dallas, Texas! The packs are available in Red, Orange, Yellow, Green, Blue, Violet, and Pink!"