Right away: the one point there because of the price and because the instructions should like to be a little more detail. A little picture of how the parts look created in the correct direction, would be nice. Otherwise I was very satisfied with the pads. Had bloody nipples that were after 24 long wearing the pads completely healed almost back. The softened dead skin cells remain just stick to the pad and then you disposed of anyway or flushed it within 24h with warm soapy water. For me it could be to replace the whole time gently and painlessly, but you can try - many hospitals they have available for a fee. Had there get first two and found me at home supplies, as it was necessary again.
Conclusion: Somewhat expensive to buy, but very helpful in case of emergency.