Hospital grade pump retails for $2000. Used very gently for 1 year. Was incredibly happy with this pump after trying to use my insurance provided pump. This pump is quiet and has amazing suction power without hurting mama. I tried to stick to my cheaper grade pump and after it would no longer extract milk, I used the symphony and would get so much more during the same session. It also helped me with getting out knots/clogging very easily. It made my breast feeding journey so much more pleasant. I hope it finds its way to another loving mama. Comes with all the parts and a soft case for protection and easy transport.