A client in my clinic last week presented an interesting problem. First time Mother -baby 7 weeks old and has since birth, favoured the (L) side. When attached to the (R) side baby sucks for a couple of minutes starts fussing, unlatches and when attempts are made to reattach, baby refuses and screams. Mum takes her off and puts her on the (L) side and she feeds away happily. Consequently (L) breast is larger than (R). Mum says that her husband has fondly teased her saying that her (R) nipple is larger than the (L). When I examined her nipple there seemed to be a main nipple and then another one like an extension directly under it. Could this be an accessory nipple? It may explain why baby isn't fond of that side eg receives lots of milk out of 2 nipples at once. Has anyone any ideas? Meredith Gordon RN RM IBCLC Roxby Downs South Australia NIce and hot here at present.