Cleaned and disinfected. Tested and the buttons all work after installing the downloaded drivers. Comes with the Wacom ZC-100-00 mouse Don't have a pen to fully test it, not sure if the surface works or not. Minor usage wear as shown in the pictures. See pictures for full descriptions. Sold as pictured. We do our best to accurately picture and describe each and every one of our listings. Inevitably, you may receive an item that does not meet your expectations. It is no way our intention to mislead or cheat any customer. If you have any issues with your purchase, please message us before filing a refund request. Please note that all refund requests, will require the return of the item in the same condition as it was sent. Any damage or material change to the condition of the item may result in a reduced refund, up to 50% in accordance with policy. All refunds on returns will be processed minus the original shipping charges that were incurred to ship it to you. We package our items in the most cost/time effective way to provide competitive pricing. Should you require special shipping considerations (e.g. packaging or shipping timelines), please message us PRIOR to purchasing so we can work towards an amicable solution. Certain requests may incur additional charges. Post purchase shipping demands will not be honored.