So just the stump, and so very easy indeed. The only way you wouldn't end up with this item is if the baby needed to stay in the hospital long enough after birth that the stump had time enough to dry up and fall off, in which case the nursing staff would pitch it in the trash (unless you've asked them not to). ksandness' friend must have had a nice long recovery stay after her birth if the nurses were able to hand her the stump upon discharge from the hospital.