This is my first breast pump. It is easy to use, although draws milk in under 10 minutes. It can hurt if badly positioned or if there is not enough milk to shoot. Otherwise, it takes a smooth milk. Personally, I use my two hands to use it: 1 holding the handle and the other on the bottle container. For I have trouble maintaining the breast, milk flows partly side. In addition, the bottle does not remain when I screwed operates the handle. But for the price, I'm not complaining. This breast pump is very effective and I am satisfied.