"WITH A PACIFIER: There is a pacifier dog toy in dog's mouth.It's soft and comfortable,not easy to cause your puppy's rejection. LIFE-LIKE HEARTBEAT: Add the life-like heartbeat to the hook & loop bottom pouch of the plush dog toys REUSABLE HEAT PACK: The non- toxic heat is all natural and simple to use with no electricity. ANXIETY RELIEF: Just put the Comfort Cuddler Heartbeat Dog Pillow in the puppy crate with your dog at home or when traveling to help reduce stress. DURABLE AND WASHABLE: The plush dog toy is made of comfortable and high quality fabrics,"