Like new tens dual unit. Brand new leads and will include one ( 4 ) pack of electrodes. Comes with case, ac charger, control unit, ( 2 ) leads, electrodes ( replacements cheap on Amazon. Works great and never had an issue. Zynex is a great company and very helpful. Great for all pains with joints, ligaments and muscles. Hate to part with it but just had one implanted. Originally $250 ( not including tax. Serious inquiries only please.