The building and all accessories have been thoroughly cleaned and sanitized. The lithos are all intact but there is some staining on the front and side panels and the fold out patio / terrace, as shown in photos. The terrace also has some wrinkling. All people and accessories are accurate to this set. The only thing missing is the African American doctor. There is no box included. The elevator works as it should. The xray machine works as it should. The scale rests at 100 but can be moved back to 60 and 20 with the dial. There is some play wear on the people and the baby is discolored to more of an off white than white. From a smoke free and pet free environment.