The main unit (with remote control), power cord, and instruction manual are all included (*'▽'*) It's clean because I used it wrapped in a towel. I bought it for shoulder blade and lower back pain (it was 14,980 yen). Thanks to it, the pain is gone and doesn't seem to be coming back, so I'm putting it up for sale. If you're okay with Eco-Mercari delivery, I can offer a 300 yen discount, so please let me know before you buy!