This is a classic jazz mouthpiece, the Meyer 5MM (for alto saxophone). It features a medium facing and a medium chamber. It produces a traditional jazz alto sound and is popular with players of all experience levels. With a 5 opening, you can fully enjoy the Meyer sound. There are no tooth marks, and the side rails and tip rail are clean. No accessories are included. Mouthpiece only. It will be wrapped in protective packaging for shipping. Please understand that this is a used item and purchase with no returns or exchanges.