This is an Italian-made Technogel Anatomic Pillow, an older model. I purchased it used and used it for about six months, but the height didn't quite suit me, so I've been storing it at home. It's a low-rebound pillow with a substantial feel, and the head area feels slightly cool. There are some frays, holes, and stains on the surface cover from use, but I think they wouldn't be noticeable with a pillowcase. (I can also include a simple pillowcase if you'd like.) The gel inside is not damaged. The box and instructions are not included. Please understand that this is a used item that has also been stored at home before purchasing.