It came with 40 pedicure pumice stone items and the rest were supposed to be files. I would say that this is a medium sized pedicure. They're not difficult, but they will work! They can't be reused, so I like to buy them in bulk and just throw them away when I'm done with my clients' feet. They are a nice size but the files are smaller but thick so they work well. Overall I'm happy with these.
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