Thank you for viewing. This is a baby futon set from Nishikawa. Everything in the photos is included. I believe everything you need to use it right away is included. There is some staining on the mattress in the third photo, but it can be used without any problems. I don't think it's something to worry about as it will be covered by the sheets, mattress cover, and waterproof sheet. Please refrain from purchasing if you are concerned, as it has been used a few times. If you have any other questions, please feel free to contact me.