AppleRound Fitness Ball: Silver, 22in/55cm Diameter, Includes 1 Ball +1 Pump + 1 Page Instruction Chart. No instructional DVD. (Exercise Gym Swiss Stability Ball) Durable Anti-Burst 55cm (22 inch) Exercise Gym Ball. Includes 1 Page A3 Size Instruction Chart. No instructional DVD. Includes a two-way hand pump. Ball is delivered deflated. Presented in color box and ideal as a gift. Made from EU approved phthalates free pvc & contain no heavy metal elements. Safe to use. Inflation instruction: Take out the inserted white plug (air stopper) from the ball, insert the tip of the pump and inflate the ball to good size, and then replace the white plug back into the hole quickly. Enjoy!