I purchased this from the official Mama&Me store on Rakuten Ichiba. A brand new cushion is included. The entire item has been carefully washed, but please understand that this is a used item before purchasing. 6-Step Height Adjustment, Easy Assembly Toilet Training for Children, Start Easily [Toilet Training with Step Stool, Non-Slip Processing, SteadyStep] Compact, Foldable Toilet Step - Color: Sky Gray - Material: Plastic - Features: With Handle - Usage: Training Toilet Seat An instruction manual is included, so please assemble it yourself. Thank you for looking.