Item will need sterilization before use. Many tools are missing, and there is no staples. Everything pictured is included. Most items will ship the same day as purchased unless on weekends, holidays, or after 3:30 p.m. Eastern Time. The seller retains the right to ship via USPS, UPS, or FedEx depending on the item’s size, weight, and destination. If you are unsure about the fitment of an item, feel free to send me a message, and I will do my best to figure out if it will work for your application. I strive for 100% positive feedback and will stand behind anything I sell. 526