I was so happy I was able to find this kit here on Amazon because I got it so quick. I went to the actual website and wasn't going to receive it for a whole week. The suction is great, I have the Symphony Medela hospital grade pump.

Cons with this kit is it isn't easy to clean you have to buy a straw brush to clean it well.

Pro suction is great and easy to use

Would have liked the bottle plastic to be harder but overall happy

This is exactly what I was hoping to find when looking for medela symphony parts. I used that pump in the hospital and fell in love with the parts compare to my Spectra. The symphony pump is too expensive for me so I figured out a way to make these parts work with my spectra - just google medela to symphony hack. The only reason I lowered to 4 stars is the bottles that come with feel really thin and not great quality. Also, the photos show it comes with a bottle lid/nipple but the description doesn't say that - it doesn't come with the lid with nipple just so you are away but does come with two yellow caps for the bottles for storage in fridge. Wish this set was able to come with 21mm flanges. I had to buy those separately.

You may be wondering that.

Most of the other Medela pumps have little nubs that you attach the tubing to, and that's how the pumping action works. The air is sucked through the tubes, into the shield, and there you go.

The Symphony is a "hospital grade" breast pump, but what's more, it's also safe for sharing, which is why some workplaces have them. Instead of having air sucked directly through the machine, it has these two pistons at the top, and those pistons, as they go up and down, are responsible for the suction. But to convert an up and down piston motion into sucking, you need a special attachment. THAT's what's specific to this kit vs the other medela kits that might include tubing and shields and bottles. If you don't have those attachments, you cannot connect to the symphony, end of story.

So this is a good kit. But you only need one like this since the Symphony specific parts do not get dirty and don't need to be washed really. Once you have this, if you want more shields and bottles, you can buy one of many other medela kits that don't include the extra symphony parts.

That said, this kit includes everything you need to pump with the symphony. You don't need anything else. But as an aside it does not include nipples for the bottles. Not that it needs to - just saying if you are buying this kit to grab and go somewhere and then want to give the bottles for feeding, you need nipples for the bottles or you need other bottles. Aside from that, this includes everything you need and you don't need anything more.

If you are buying this to pump at work, I would highly recommend the medela quick clean wipes, which lets you clean all the pumping parts without a sink - just a quick wipe down, so you can toss them back into your bag and be good to go. http://www.amazon.com/Quick-Clean-Breastpump-Accessory-Wipes/dp/B000CCXLNE

I love the shape of the flanges, they fit well and I get better suction now. Perfect kit as it comes with everything you need.