There are some signs of use, but I think it can still be used! There is a pocket on the back where you can put ice packs or heat packs. Ice packs are not included. Only the seat. —— ● Please understand that this is a home-stored item before purchasing. ● I do not have pets or smoke. ● I believe I inspect items thoroughly, but please understand that they are used. ● Please be aware of folding wrinkles, etc. ● No prior comment is necessary. ● We generally do not offer discounts. —— I am very experienced with other auction sites, but I am a beginner on Mercari. I am not familiar with any unique "house rules," so I will respond strictly according to Mercari's regulations.