Can I use this unit for Switzerland, which has 3 prongs, with a ground? Or do I need to buy something different?

You can check on the Conair website for the adapter required for Switzerland.

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Conair TS253AD Travel Smart All-In-One Adapter Combo Unit

Overview

Specs

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:| Input Voltage: 220 V AC| Output Voltage: 110 V AC| Output Voltage: 120 V AC. .

Model
Brand	Conair
Model	TS253AD

Details
Type	Travel Adapter

Features
Features	2 modes: adapter only or adapter/converter combo For use with U.S. appliances (110/120V) overseas; converts foreign electricity (220/240V) to 110/120V Easy-to-use all-in-one adapter and converter combo unit fits electrical outlets in most commonly visited countries Built-in surge protector keeps your electrical appliances safe from spikes in foreign electricity

Additional Information
First Listed on Newegg	May 11, 2010