Janaki (and everyone else), As someone with lg. breasts, I can attest to the fact that it is difficult to use the standard size flanges with the breast pump. However, it can be done. First, get flanges wet (better starting suction). Second, have mom support her breast/hold flange on (I know, it makes dbl pumping difficult) while she pumps. She might have to stop and readjust breast every now and then. As long as her nipple and some of the areola are in the pump it can be done. I found that a manual pump worked best because one has to hold the flange on. Also, in response to sore perineum, either calendula or hypericum/calendula cream applied to tucks pads and placed on the perineum help immensly. Johanna Berger, LSW NM Counselor _____________________________________________________________________ You don't need to buy Internet access to use free Internet e-mail. Get completely free e-mail from Juno at http://www.juno.com Or call Juno at (800) 654-JUNO [654-5866]