It was opened, but it's unused. It was charged and turned on to confirm power and temperature increase. It will be shipped in simple packaging. Thank you. white Product Description (from the website): [Superb Neck Care Supervised by Acupuncturists/Osteopathic Clinic Directors] Experience the evolved RELX NECK WARMER PLUS with a neck warmer featuring "rapid heat" and "EMS vibration" with five neck/shoulder pads, and carefully placed electrode pads. *This product is not a medical device, therapeutic device, massager, neck massager, or neck massager intended for treatment purposes. *This is an EMS neck care appliance/item of the neck-hanging type and does not guarantee a massage effect. Thank you for viewing.