The box and instruction manual are not included. Only the main unit and the carrying bag are included. (Everything in the photos is included.) Used and washed a few times, the bag shows some signs of wear. The main unit still has battery life and works normally. The following is a quote: 【BabyPlus, highly regarded worldwide】is also perfect as a once-in-a-lifetime gift. Recently, it won the "Mom's Choice Award No. 1" in 2017. 【What is BabyPlus?】 BabyPlus, the world's first scientific prenatal education system developed by doctors based on over 20 years of research, is designed to have the baby in the womb listen to 16 scientifically developed sounds daily according to a lesson schedule. These sounds are synthesized based on the "mother's heartbeat" - the "language" that the baby in the womb understands best - which is naturally heard in the mother's womb. These "heartbeat-like sounds" gradually become more complex as the lessons progress, and the baby begins to develop the ability to distinguish sounds and learn by recognizing "Oh, that sounds different from Mom," and "Oh, there's that sound again." BabyPlus prenatal education has been experienced by over 500,000 people in 60 countries.