This is a YAMAHA YDS-150 digital saxophone. Purchased in June 2022, I estimate it has been used for less than 10 hours in total. It has only been used indoors and has never been taken outside, so both the main unit and the case are in beautiful condition. The mouthpiece patch has been removed and cleaned, and then disinfected with alcohol before shipping. If you are concerned, please consider purchasing a new one, or you might be able to use an alto saxophone mouthpiece (though I haven't tried it, so please research it). Another spare mouthpiece is included, and the resin reed that came with the mouthpiece will also be cleaned and disinfected before being sent. In addition to the main unit, mouthpiece, ligature, and resin reed, the following accessories are included: box, case, strap (unused), spare resin reed (unused), and instruction manual. This is a used wind instrument, so please refrain from purchasing if you are uncomfortable with an instrument that someone else has played. Also, if possible, I recommend that you try it out at a nearby store before making a purchase. #Yamaha #YAMAHAdigitalsaxYDS_150