This is a set of Pigeon breast pads (28 pieces) and two Medela nipple shields (20mm). The breast pads are unused. The packaging will not be included. The Medela nipple shields were purchased 8 years ago and used for two children, but each child used them less than 5 times. They have been cleaned and sterilized in the microwave before listing. There are no noticeable stains or scratches, but there are some water spots and slight yellowing. Please understand that these items have been stored at home before purchasing. Thank you for looking.