I'm surprised that some of you see so few mothers that need the big glass pump flange. Obviously I don't see tons, but probably see at least a couple of moms a year. I bought several pairs of glass flanges for the hospital I work at and we just lend them out when needed. We collect a check that covers the wholesale price and the check just sits in my drawer until the flange is returned--sometimes they've stayed out for months, which is okay since we have others. I've been harping at Medela for years that there needs to be a size in between the regular and the huge. I know I have lost mothers who didn't fit into either size and were unwilling/unable to hand express, which is sad. Hopefully the need will be met in the near future--I notice that Medela's survey that is done every year at ILCA has had a question on the need for an in-between flange for the last few years. Becky Krumwiede, RN, IBCLC, Appleton, WI [log in to unmask] or [log in to unmask]