Medela breast pumps are the best in my opinion! This one was gently used for about a month, works great!! Comes from a non-smoking and pet-free home. I will add the 21 mm breast Shields for $5 if interested! Otherwise comes with everything in the picture. Sells for $155 at Walmart. Cash only, located in Syracuse. Willing to meet off Antelope exit at Davis hospital parking if schedule allows.