Everything you need to start practicing like a pro a large 4-layer pad in a durable case, driver, pickups, scissors, scalpel and sutures. For doctors and medical students who want to practice with the best tools available, without the $3,000 price tag, we offer the highest-quality, hyper-realistic suture pad for a sliver of the cost. Our suture pad is now produced entirely in-house with a new, innovative formula that allows us to keep prices low while delivering the highest quality suture pad imaginable. Can be used up to 100 times, even longer if you are careful (sutured carefully and correctly using small needles and careful removal). Our 4-layer suture pad comes in a plastic case for easy transport. There are three layers, representing skin, fat and muscle and incisions may be made with a scalpel.