Have we gone too far with pumping? Do we really need a breast pump in every postpartum hospital room? Is it a toy or does it really work? What’s with all these pumps? More and more mothers are using breast pumps for a variety of reasons. This presentation looks at the why of pumps, pump history, how pumps work, how to select the best pump for the situation, pumping scenarios, creation of pumping protocols, and how to integrate hand expression into the pumping regimine. We will also explore problems with pumps and pumping, safety issues of pumps, and the use of previouly used pumps.