This is a Pigeon manual breast pump! I received it from a friend who said, "It's unused!" However, I also didn't end up using it, so it has been stored unused. I think it's in good condition. Everything in the first photo is included. It's set up as it was when shipped, but the included baby bottle, nipple, and cap are not included. There is one spare silicone valve, and the cover that goes under the bottle is included (photo 3). Please refrain from purchasing if you are concerned about it being stored at home. I plan to fold the box for packaging. I will try to accommodate price reductions as much as possible, so feel free to comment. Thank you.