I used this a few times and then stored it three years ago. All the parts shown in the photos are included. There is also a baby bottle. A set of 25 breast milk freezer bags is also included. (Unopened, but has been stored at home for a while.) If you'd like, I can also include a nipple shield that was used a few times, so please let me know in the comments after purchase if you need it. This is a manual breast pump with a flange that allows for size adjustment. - Brand: Pigeon - Model: Manual Breast Pump - Size: 2 sizes (16-20mm) - Type: Manual - Material: Plastic Thank you for looking.