Hi All, I do have a financial interest in these lovely little do-dads because I sell them. I have sold the only 2 X-Lg PP flanges I had to women who both had nipples the size of quarters! Both had classic cases of oro-boobular dysfunction and the Medela flanges (36mm) just didn't feel good for them. They loved the PP. :-) Some moms who you would think would do best in the Med flanges (22-29mm) don't and need the large, and some you might think would need the large (30 - 35mm) don't - they need the Med. I have learned that you need to test them out - figure out what size should work and have them try - and hope it does! :-) I would say about 85% of my clients who do purchase them love them. The other 15% either don't like them or decide they aren't any better for them than the other brands. Moms with less elastic nipples tend to like the PP more because many of those non-elastic nipples don't do well with the sharper angle of the other brands.just my observation after selling them for almost 2 yrs now. They work for many but not for all which is typical of most products and people. I'm just glad to have another option to offer. For anyone wanting more information on them just do a search for Pumpin' Pal Super Shields. Warmly, Jaye Jaye Simpson, IBCLC, CIIM Breastfeeding Network Sacramento, CA www.breastfeedingnetwork.net *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome