DeepHeal massager pillow comes with a power adapter and car lighter plug.Attach the adapater/plug to the pillow.Mount the massager on your chair or car seat.Press the button to turn on the massager. The nodes will begin to rotate.To change the rotation of rollers or turn on the InfraRed heat, press the button again.Press the button again to switch off the massager or it will automatically shut off after 15 minutes.