Open box. This pillow case has been hand washed. It was on a display bed and had minor dirt specs. Box has minor damage from me trying to get pillow back in it. Cushion Lab Deep Sleep Pillow, Patented Ergonomic Contour Design for Side & Back Sleepers, Orthopedic Cervical Shape Gently Cradles Head & Provides Neck Support & Shoulder Pain Relief - Calm Grey THE MOST COMFORTABLE PILLOW: ✔ PATENTED DESIGN FOR BACK & SIDE SLEEPERS: ✔ ZERO PRESSURE CLOUDSUPPORT CUSHIONING: ✔ ANTI-AGING FRESHFACE PILLOWCASE