I received this item from an acquaintance who used it infrequently, but I have not used it myself. All accessories are included except for the box and instruction manual. This item includes a new lumbar pad. I didn't notice any noticeable stains or dirt, but as I am a private seller, please purchase only if you understand that this is a used item. There are no pets or smokers in the home. The item has been home-cleaned. I will fold it up small for shipping. Please refrain from price negotiations.