Pigeon Manual Breast Pump Light Instruction manual and all parts included. Used a few times, but stored at home after switching to formula. Please refrain from purchasing if you are concerned. Before shipping, items that can be sterilized will be washed and sterilized (sterilization will be done by soaking in Milton). If you don't need sterilization, please comment and I will ship as is. Shipping will be compact. The box may be folded for shipping depending on the situation.