Pigeon Electric Breast Pump All parts except the bottle are included. The bottle is not included, but you can use the Mother's Touch bottle, so if you already have a bottle, you can use it right away. The parts in the second photo (24mm M size suction entrance and one silicone valve) are unused. The others have been used, so some may show signs of use, but if you are concerned, you can purchase new parts, so I think you can still use them. Also, for those who want it, I will also include the Maymom flange in the third photo. There are 17mm and 16mm sizes. If the size of the suction port doesn't fit, you can't pump well, so it was essential for me (therefore, the 24mm M size that came with the breast pump was unused). Maymom flanges cost nearly 2000 yen for a set of two, but if you're unsure if the size fits, please let me know if you'd like to try them.