Brand new, unopened. Ateraku Urine Pads Super Wide Long-lasting 45 sheets x 2 bags, unisex ◆Bonus: Attento Urine Pads Super Absorbent 72 sheets, for women, also included ◆◆Total: 162 sheets Although labeled for women, these can also be used by standard-sized and relatively large men. (I have used them for men.) Individual perceptions may vary, so please make your own judgment. Minor scratches, tears, and dirt on the packaging have not been checked. Please refrain from purchasing if you are concerned about these details.