This was purchased new from Rebalance in Victoria on December 21, 2020. I paid $235.00 for it and used it for my new knee. It works very well and is fantastic for use when rehabbing after surgery. It comes with the original box, instruction booklet, 12 volt wall plug, and the machine itself. In one photograph you can see the cloverleaf shaped knee pad that I used. That is a single use pad and does not come with the machine. You have to buy your own pad for your own surgical area. You can buy them at Rebalance in Victoria, or on the internet. Pads can be purchased for specific body areas: Ankle, knee, shoulder, left hip, right hip, lumbar pad, rectangular pad, universal pad. None of these are supplied. This machine is fantastic therapy for after activity to give pain relief to your affected area.