This ResMed 63469 cushion is the large size, in the original unopened sealed packaging as illustrated in the pictures.Orders received by 6PM Eastern (weekends excluded) are normally received by the US Postal carrier the following business day. Weekend orders are routinely received by the Post Office no later than Tuesday for the pleasant journey to your awaiting arms. Thank you for your visit and shopping here, should you purchase the item I trust it will satisfy your expectations and provide to your need. Please stay safe, happy and healthy.