Includes: 2 Soothing Silver Nursing Cups: Anti- inflammatory, antimicrobial, antifungal relief for sore, painful, and irritated nipples 2 Catch-All Milk Cups: Designed to catch leaks and letdowns and protect sensitive nipples 4 Cooling Gel Nipple Pads: Rapidly soothing relief for seriously irritated nipples 2 Reusable Breast Pads: A sustainable solution for managing leaking breasts 2 Hot & Cold Breast Therapy Pads: Heat encourages letdowns while ice provides relief for engorgement, swelling, and more Nipple Sizing Guide: To help you find the right flange and insert size for optimal comfort and milk output Everything is brand new except for the silverettes, which have been washed. Get a whole breastfeeding support kit for the price of other brands silverettes alone!