Unfortunately organic mattresses are not that closely regulated as organic food and organic food production processes. Manufacturers try to use the word organic together with other popular terms like natural, eco-friendly, green, or sustainable to attract many health and environment cautious customers. Organic cotton cover doesn’t make the whole mattress organic.

In order for a mattress to be labeled Organic ALL its components must be produced in full compliance with USDA National Organic Program (NOP) regulations or must be produced in accordance with the Global Organic Textile Standard (GOTS)Global Organic Textile Standard (GOTS) is the world's leading processing standard for organic textiles and fibres, including ecological and social criteria, backed by independent certification of the entire textile supply chain. The aim of the standard is to define globally recognised requirements that ensure the organic status, from harvesting of the raw materials through environmentally and socially responsible manufacturing all the way to labelling in order to provide credible assurance to the end consumerGlobal Organic Textile Standard. This was explicitly directed in the USDA NOP Policy Memorandum (PM-11-14) addressing the labeling of textile products containing organic ingredients and made it more transparent for consumer to distinguish a true Organic product.