cut or tear open pouch and remove one Kool'n' Soothe Migraine soft gel sheet.remove transparent film from the back of the gel sheet and discard.place one Kool'n' Soothe Migraine soft gel sheet on the forehead or the back of the neck.if desired, cut sheet to suitable size with scissors.to prevent drying store unused gel sheet in the foil pouch by folding over the top.for best result, use each sheet only once.