I purchased this from Rakuten's official store this March. My child doesn't use a pillow much because they sleep restlessly and like to sleep on their stomach, so I don't think there are any noticeable stains. I used the attached cover when in use. The cover can be included if you'd like. The insert is unused. I bought this for my second child because my first child's head became round. This is not new, but a used item, so please refrain from purchasing if you are looking for a pristine item. *We will compress the item for shipping. We appreciate your understanding. Retail price: 3,298 yen Color: White Star Size: Approximately 28cm x length 24cm x height 6.5cm Fabric: 100% cotton, Filling: Polyester Made in Japan Pillow body: Hand wash only, no bleach, no dryer Insert: Do not wash with water