Comes with case, mouthpiece, cap, ligature and cork grease. Yanagisawa, like most newer sopranos, plays with a brighter sound quality so we recommend the Otto Link Hard Rubber or Selmer Super Session soprano mouthpiece for jazz or the Selmer S80 C*, Vandoren Optimum for classical work. The Sax Alley price will include our " Complete Adjustment". Shipping cost is extra and dependent on destination.