This firm donut cushion was my most relied-upon companion after my episiotomy while I was at home. It's absolutely essential for anyone who has a vaginal delivery to have one as a safeguard... I only used it for about a week after the discharge of each of my two children, so it's still in very good condition. I apologize, but due to the price including shipping, I cannot ship to Okinawa, Kyushu, Hokkaido, or other remote islands. I will do my best to pack it as compactly as possible. Also, the shipping method may be changed after packing, but I hope you understand. I am raising two small children on my own, so I have given myself some leeway with the shipping schedule, but if you need it sooner, I will try my best to accommodate your request, so please feel free to consult with me. Please feel free to comment if you have any questions.