This item was purchased in 2016. Please only purchase if you are satisfied with the images. I used it with a pillowcase. I also washed it regularly, so there is a feeling of use. Also, my name is written on it because I had it maintained. However, when I purchased a custom-made pillow, I confirmed with the store that it can be transferred, and I was told that you can have the pillow adjusted to your neck after purchase through maintenance. I can tell you the store where I purchased it after your purchase. It comes with a shopping bag from the store for carrying.