Box is opened and most items are out of package, but never been used. Pump was plugged in to guarntee to work. The listing includes the following items:

1 Lansinoh signature pro double electric breast pump

2 bottles

2 breast pump flange bodies

2 collars

2 diaphragms

2 sealing discs

2 comfort fit (25mm) flanges

4 white valves

2 bottle stands

3 connection tubes, 1 tubing strap for tubing, 1 y tubing connector, 1 pump connector

AC adapter

1 natural wave nipple and cap

1 tote bag

instruction booklet with everything you need to know to get started