It comes with everything you need to get started, the ball, a hand pump, air plugs, air valve remover tool and instructions. The hand pump that is included is easy to use. It does take a while to get the ball completely inflated (my hands got tired pumping it up, but no big deal). It did take a bit for the PVC to stretch out completely and for the ball to get full-sized as air went in, but we just added more air and it is perfect now. Once it is inflated, it stays inflated. We have not seen it go down at all since we got it inflated and we have used it a lot. The company says it can support 2200 pounds, and I am inclined to believe them..
This is one piece of exercise equipment that I can get into using and more faithfully than others I have tried. I can highly recommend it to you, but sorry, you are not going to get pictures of me using it, at least not yet!
You can purchase your own Live Infinitely Exercise Ball in Grey or Pink HERE!
This reviewer has been compensated with receiving the product free in order to bring you an honest review. All opinions are those of the reviewer.