You can enjoy pretend play with this toy medical kit. The contents are as shown in the photos. There are no noticeable scratches, but please understand that this is a used item that a child has played with. I gave this toy to my child when they were a bit older, so it wasn't used that much. It was forgotten in a bag. They were also past the age of putting toys in their mouth. I will be shipping using recycled cardboard boxes (that are not unsanitary). I plan to use Nekoposu (a small package delivery service).