This doll has been opened and played with. All accessories are included, including the backpack, shoes and all food accessories, as well as birth certificate and all accompanying paperwork. The bow has come unattached from her hair. It is included. The doll could use some spot cleaning on arms and feet as shown in pictures. This doll was recalled in January 1997 due to children’s fingers and hair getting pulled into the dolls mouth and there not being off button. This is a nice piece for any cabbage patch collector.