The outside of the white gift box reads: "CAUTION Do Not Open with a Sharp Instrument" When the recipient opens the package, out pops your message on a balloon. Inside the box is color coordinated tissue paper, a balloon weight clip, a personalized message from you, and an additional suitable gift. Gifts can vary depending on the selected balloon. For example, a "Get Well" balloon may ship with a pack of tissues, and a crossword puzzle. Birthday balloons may ship with a party hat, a party horn, bead necklaces and/or Silly String. We also have larger and/or more personalized gifts available as gift attachments!