Lisa, When you live and work in a 3rd world country with limited access to supplies, you sometimes do more than just "pump trials"...... I, too, am careful about sterilizing equipment after use by a mother, but that's really the only option I have right now. I do teach and stress manual expression with my moms. But there are times when a pump is nice to have! It was good to see your post. Glenni Lorick, BSE, IBCLC Lima Peru [log in to unmask]