I purchased this new from Rakuten around December 2025. I used it daily for about six months after my baby was born. I always used a bath towel when using it, so I don't think there are any stains or dirt! The included pillow was discarded, so it is not included. Also, there is a ribbon-like string on the bottom, but one side is curled up, so please check the photos just in case. This is a used item, so please only purchase if you are okay with that.