The fine item you are considering is an ApexM Pelvic Floor Muscle Stimulator Apex M Urinary Incontinence. This quality unit has never been used and is in an open box with the unit still sealed in its wrapping. The unit comes with everything you see, including the unit, DVD, manual, bag and gel. Please see my photos to have a look at this nice item and to get a better idea of the condition. Winning bidder/buyer pays $22.00 shipping and insurance in the contiguous U.S., plus $2.00 for packing materials (bubble wrap) with shipping to Alaska and Hawaii most likely costing more. If you are in Alaska or Hawaii, please contact me for a shipping estimate. Foreign bidders/buyers pay costs as per eBay's Global Shipping Program. Due to the large amount of items I now auction, I can unfortunately no longer allow in person pick up of items. My return policy is that returns are only accepted if I made a mistake in the listing, not disclosing a serious issue with the item, in other words, if the item is substantively different than as described in my listing. Thanks for looking, and happy bidding/buying!