Everything is included except for the batteries, so even beginners can start using this digital saxophone right away. I bought it new at the beginning of this year. I used it about once a week for the first month or so. After that, I didn't have a chance to use it and it has been stored. It works properly. The accessories are as shown in the photos and include the following: ・Dedicated carrying case ・Unused reeds ・Unused O-rings ・Neck strap ・Instruction manual I will also include the following, which I purchased together: ・YDS-150 dedicated stand I will remove the batteries to prevent any malfunctions during shipping. I will disinfect it before shipping. Please understand that this is a personal item and purchase accordingly. The last photo shows the condition of the mouthpiece. Thank you for looking.