Includes all that’s pictured. Used items: 1 hub, 1 plug in, 1 travel charger (no batteries but takes AA), 5 bottles, 2 lids, and 4 flanges. I used them 2-3x and sterilized them and cleaned them after each use. All new in 2023. Brand new never opened items: 1 plug in, 2 tubings, 3 flex connectors, and 4 flanges. Shipped to me in 2023. Not pictured: 4 more flex connectors and 2 tubings I used in those 2-3x I mentioned above. I found them in storage after I took the pictures. All in amazing condition and works great. The Medela just didn’t work for me. I’m a Spectra girl. 😁