Items in the first photo are included: the freestyle motor (including the rechargeable battery), tubing, AC/DC transformer, tote bag, instructions, cooler bag, ice pack, some brand-new accessories (2 steam quick clean bags, nursing pads, milk storage bags, lanolin sample). Items in the second photo are not included due to sanitary reasons. You will need these items to make the pump work. These include: at least two compatible milk bottles, a pair of breast shields that fit you, connectors. Must pick up. No shipping. No delivery. No hold. Final sale.