It is missing the top knob, but that is easily interchangeable. The item "With CODES 2003-2006 ACURA MDX OEM FRONT NAVIGATION SYSTEM RADIO 6 DISC CHANGER" is in sale since Wednesday, May 5, 2021. This item is in the category "eBay Motors\Parts & Accessories\Car & Truck Parts\Interior\Switches & Controls". The seller is "dionfessenden7" and is located in Muskegon, Michigan. This item can be shipped to United States.