We have been buying toilet seats and spray painting them with decorative stencil designs. These are new toilet seats and we add a couple of coats of clear acrylic to seal the images. Each seat includes a set of hardware for installation of the toilet seat on a standard sized comode, if that is what you call them these days. Each design varies slightly from the images shown, but they are pretty much what you see. If you want a unique combination of images you can request a custom toilet to be made by email us at email@example.com.