Choose a design. Square, rectangular, circular, cylinder, small, medium or large.There are many shapes and designs you can choose any of them. 2 Choose the fabric. Any fabric is fine. Cotton, silk, denim, printed or plain. 3 Choose to decorate. Try embroidery, applique or ribbons.You can even decorate it yourself. 4 Cut two pieces of fabric into the same desired shape, allowing for a half-inch seam allowance on all sides of the fabric. 5 Add decorations to one side or both sides of the pillow. 6 With right sides together, stitch three sides of the pillow together, leaving a half-inch seam allowance. 7 Turn the pillow right side out and iron it flat. 8 Prepare the opening. Tuck a half-inch of fabric inside the pillow and iron it flat. 9 Stuff the pillow. Make stuffing by cutting and shredding your old clothes. 10 Stitch the opening together. 11 There you go your pillow is now ready!