The Medela Symphony® PLUS is the most trusted hospital-grade (multi-user) breast pump, designed to support mothers from the earliest stages of milk production. Featuring exclusive Initiation Technology™, it's the ONLY breast pump clinically proven to double the number of mothers who reach full milk volume and increase milk supply by up to 50%. Backed by 8 Randomized Controlled Trials (RCTs)*, Symphony® PLUS is the most studied hospital-grade breast pump on the market. Used in over 80% of U.S. hospitals, Symphony® PLUS provides reliable performance, comfort, and efficiency at home. Whether initiating breastfeeding or maintaining your supply, Symphony® PLUS offers a clinically proven solution to meet your breastfeeding goals. Note: This does not include personal pumping accessories. The Symphony Double Pumping Kit (sold separately) is required to get started. What's Included: (1) Symphony PLUS Breast Pump; (1) Symphony PLUS Program Card; a computer chip that stores all information about the pumping program; (1) Container Stand; (1) Quick Start Card; (1) Card/Cord Protector; (1) Instructions for Use; 3-Year Limited Warranty * Meier PP et al. J Perinatol. 2012; 32(2):103–110. Yuan S et al. Breastfeed Med. 2023; 18(7):506–513. Prime DK et al. Breastfeed Med. 2012; 7(6):442–447. Meier PP et al. Breastfeed Med. 2008; 3(3):141–150. Kent JC et al. J Hum Lact. 2003; 19(2):179-86; quiz 87-8, 218. Kent JC et al. Breastfeed Med. 2008; 3(1):11–19. Mitoulas LR et al. J Hum Lact. 2002; 18(4):353–360. Sakalidis VS et al. Acta Obstet Gynecol Scand. 2020; 99(11):1561–1567. About this item references: 1. Meier PP et al. J Perinatol. 2012; 32(2):103–110. 2. Yuan S et al. Breastfeed Med. 2023; 18(7):506–513 3. Post EDM et al. J Perinatol. 2016; 36(1):47–51.