This is a Piccorozio baby pillow designed to support a baby's head while sleeping, helping to shape it and prevent flat head syndrome. The set includes the pillow itself, two pillowcases, and two inserts. The inserts allow you to customize the pillow to perfectly fit your baby's preferred sleeping position! It was used for about 3 months and has some minor stains that don't show up in the photos. It was washed frequently, so it's in good condition.