This kit comes complete, with each size in its own bag, and clearly marked. The only catch is there is no jewelry for the smaller gauges, so you will have to wear the tapers until you get to a 10g. I had my ears stretched to a 10 previously, so I thought that wouldn't matter, but cramming the tubes in is a lot more difficult than the tapers. The open, blunt end catches on the back of my ear skin and makes getting it through to the other side difficult. There are no instructions, but a quick Google search takes care of that. Warm soaks in sea salt and a month between sizing up seems to be the consensus. The metal seems to be a decent quality, no reaction from my very sensitive ears. Would recommend