I used this about twice around March of last year, but I couldn't get the hang of it and have been storing it. Everything is included except for the breast shield pads and the instruction manual. The instruction manual can be downloaded from the Pigeon website. I will also include a box of 50 new 40ml breast milk freezer bags. The box has some tears. ○Notes○ ・I will pack it carefully, but I am an amateur. ・Please ask any questions you may have beforehand. ・I am not responsible for any postal accidents. Please understand. ・We do not accept returns, refunds, or complaints for any reason. Please understand.