This is a Pigeon manual breast pump. The set includes everything shown in the photos. The silicone valve (x1) and the nipple for the baby bottle are not included due to deterioration. I used this for about 3 months because I was supplementing with formula from the time my baby was born. I washed and stored it at home after use. There are no noticeable scratches or stains on the main body, but the baby bottle has many small scratches from frequent use. Please consider it as an extra. This is a used item, so please purchase only if you understand this.