Sleep-use tawashi pillow, pillowcase, and height adjustment pads. This is a set of 3 items. Size: Approximately 38 x 33 cm (15 x 13 inches) Purchased in 2018, used for about six months with a cover and wrapped in a towel. The height adjustment pads are unused. I bought a new pillow and stopped using this one, so I stored it (washed with water, hand-washed). The cover shows signs of use. Will be shipped in simple packaging, using recycled materials.