I used this pump a few times, but unfortunately Breast feeding didn’t work out for me. Everything displayed in the picture is what you get. Amazon sells this same item for 159.00 brand new and offers all replacement parts or add on’s that you may ever need or want. All pieces that ever touch your body or Breast milk can easily be sterilized or replaced. Comes from a very CLEAN, smoke free, pet free home. Please feel free to message me with any questions.