I have used this Bloody Brain on a couple of occasions and been very happy with the effect. It is easy to put on, the bandage is attached to the brain just once around it, with lots more bandage available to wrap and tie it around your head, keeping it in place. I purchased some fake blood and gel blood to enhance the look of the brain, which made it look more 'realistic' (not that I have seen too many brains close up!). It is a simple and effective looking addition to a costume. On the downside, as it is made of plastic, after a couple of hours on the dance floor, my hair was completely soaked underneath - not sure how this can be address... make some holes in it? that would probably look a bit weird. I would have given this 5 stars if I hadn't needed to add fake blood to make it look better.