First off, please note that there is some degree of use. However, there are no noticeable stains or scratches, and it is in very clean condition overall. I think it's in pretty good condition for a used item. I've included a lot of photos, so please check the details. The accessories are all that are shown in the photos. Individual perceptions of condition may vary, so please be sure to check carefully before purchasing. Price negotiations are also welcome! 【Product Features】 ・Stretches around the shoulder blades just by lying down ・Naturally improves posture and supports deep breathing ・Designed to provide a feeling of liberation, as if "your back is waking up" It's like the feeling of lightness you get with a "phew" after stretching after a long flight. This pillow allows you to easily experience that kind of comfort at home. I've included a lot of photos, so please check them out.