Purchased on Amazon in December 2025. Unused because it couldn't be placed where I wanted it. Since it has been opened, I will consider it as "Like New". This is a gray, handled body position changing cushion that provides comfortable support. For Benign Paroxysmal Positional Vertigo, pillow, GERD, GERD pillow, triangle pillow, inclined pillow. No outer box. Will be sent in simple recycled packaging.