If you are using a mat by itself, you don’t need to worry too much about which way it’s facing. However, if the mat is unipolar and you specifically want to lie on the north side, then the side you use does matter. For most PEMF devices, you can check which side outputs north or south in the user manual.
If you are using a 2-in-1 device, this is where the direction of the mat becomes more important. When using both together, often referred to as the “sandwich effect”, first establish which side is north on both products. Then make sure those sides are facing the same direction (for example, both north sides facing upwards towards the ceiling).
This is important because, just like with the bar magnets you may have used at school, if both north sides are facing each other, the magnetic fields will repel and can create dead spots, reducing the overall quality and consistency of the field.