Lansinoh TheraPearl 3-in-1 Breast Hot Cold Therapy ~ There are 2 Reusable Pieces each with a cover that is included in this pack! Condition is "pre-owned and used!" One of the heating pads has a hole that I put tape over as shown in the photos listed above! I was going to throw it away but decided to leave it with the box! It helps out tremendously when you need to pump and engorged! The other one is in fine/working condition! Please base your purchase decision and the condition of the items from the photos and description as you will receive the exact same items as shown in the picture section of this listing! We do not accept returns due to the nature of this product, and all sales are final, so please make sure you are committed to your purchase! If you have any questions or would like any more pictures or information before purchasing, then please feel free to reach out to us via eBay messenger, and we will be happy to help! Shipped out with USPS Ground Advantage within one business day of your purchase! Thanks for shopping with us, and have a wonderful day!