In perfect condition! This was used for a whopping total of 66 minutes (see pic)! Extremely lightly used. I ended up loving my S2 more for the ease of being mobile so this one sat in the nursery to be used while baby was sleeping. I am including all of the accessories that came with it. These are all brand new and never used since I needed a 19mm flange and I think these may be a 24mm flange. The duckbills are brand new and I am throwing in new tubing so you can feel confident using a clean and safe and gently used S2Pump. $175 brand new package!!