It comes folded up, has several plugs for the ball (there's only one opening), and an Inflation Straw. Remove the Plug in the Ball, Insert the Inflation Straw, Blow up the Ball as desired and needed, cover the straw with a finger when removed from the mouth, or cover the opening in the Ball with a finger once straw is removed, have the Plug ready when the Straw is removed from the Ball, and insert Plug into Ball. It worked fine for me. I was told to buy a Ball or use roll up towels, the Ball is easily preferable.
I put the Ball between my legs and squeeze somewhat, hold for 3 seconds, release enough to take the force off the Ball but not enough to let it drop to the floor, and repeat for the the specified Repetitions.
I am happy with the Product, it works as advertised, seems durable, and suits my needs fully.
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