Gio Pillow M (41cm and over) Prevents Suffocation & Flat Head Syndrome This donut pillow supports your baby's comfortable sleep with its breathable mesh material. - Product Name: GioPillow Donut Pillow - Included: Instruction manual, 2 covers - Features: Breathable mesh material, hole in the center - Usage: Baby pillow Will be shipped without the box. If you would like the box, please write in the comments section and it will be included for an additional 500 yen. The box has dents and tears. (See photo 3) Two covers are included for convenience when washing. It was washed in the washing machine about once a week, so there is no yellowing, but some dust and hair that couldn't be removed from the mesh remain. They don't affect use and are hidden by the cover, but please refrain from purchasing if you are concerned. Breathable mesh donut-shaped baby pillow.