This is a brand new open box item. While everything is in mint condition including the duck, it is possible that some accessories may be missing since every duck was especially catered for different conditions. The instruction manual is definitely missing. There are more accessories included not in the photograph including the port-o-cath, 7 feeling cards, a spacecraft soundscape and the ducks bandanna.

The "My Special Aflac Duck Interactive Cancer Coping Toy Bag + Tote & Accessories" is a unique collectible item featuring the popular Aflac duck character. This interactive toy is designed to provide comfort and support for cancer patients, with a white duck design that is sure to bring a smile to anyone's face. Created in 2018 in China, this special toy is a wonderful addition to any collection or a thoughtful gift for someone battling cancer.