First I want to say that this cable came with an extra headphone adapter cable, that is not shown in the picture. So EVERYTHING you need is in the box! Be warned, that you should use headphones that have volume control built into them because there will not be a way to adjust the volume without it.
Setting up for the Wii to work with the VGA cable took a couple of steps that could be a hassle for some, however this a Wii setup issue and has NOTHING to do with the cable. The directions are printed on the back and are easy to follow so Im not sure why people are having such a hard time with using this cable.
You must change an option in the Wii settings to get the Wii to display properly out of the VGA portion of the cable. Unfortunately in order for this option to be selectable, the VGA cable must be connected to something as well. Thankfully, I have a TV downstairs that has a "VGA" input, so I connected my Wii to the TV with the Green, Red & yellow heads and also connected the VGA head to the same TV. Powered up the Wii, went to settings,selected the VGA option, I don't remember the exact wording, and then the screen went dark. This indicated to me that the Wii had successfully switched to the "VGA" output mode. I powered down the Wii and it works PERFECTLY on my LCD monitor upstairs.
Shipping was fast and the packaging was top quality.