Combi Nursing Guide Bottle Set Includes box and instructions. All accessories are included. Purchased at Akachan Honpo. Originally comes with one SS-size nipple and two S-size nipples. It doesn't seem to suit my child. I thought it might be the nipples, so I tried the S-size, but they wouldn't drink. Although hardly used, the bottles and nipples (SS and S sizes) have been sterilized. Only one S-size nipple is new, unused, and unopened. I have two unopened dacco breast pads, which I can include if you need them. ^ ^