Comes with everything on the box: Bag Pump (used 2x): Flanges 2 pair of flange inserts: 24.5mm & 28.0mm (both used 2x) Bottle bag (unused) 3 cold packs (unused) 4 bottles (well used but lots of life left in them) 1 nipple (used as well) Has all the parts and manual. I'm also throwing in separately bought flanges and inserts, size XL (BNIB), and a pack of milk bags (open, but only a few used) Smoke free/pet friendly home Pick up in Acton $85 OBO