Used approximately 10 times. There are some scratches and minor scuffs on the mouthpiece. Otherwise, there is no major damage and it can be used without any problems. The accessories are all that are shown in the photos. Product Description: The Choir Horn is a set of horns, each producing a different note. It's a fun instrument that can be used for playing with sounds, assigning each person a different note to play a song together, or even for fanfares.