Does the milk go through the tubing like in the medela?

No it does not. It has a backflow filter that creates a barrier between the tubing and flanges. Since it is a closed system, you don't have to replace your tubing.. Unless you misplace them. But milk does get into the filter, so make sure you clean them. The filters are easily opened and closed, perfect for an easy cleaning. I recommend using babyganics foaming dish and bottle soap to clean the pump flanges, valves, bottles, and filters. It gets the residue off and rinses clean. I also use a skinny nipple cleaner (I buy the cheap babies r us brand skinny nipple cleaners) to get any gunk out of the part that connects the filter and breast pump (if you purchase it you'll see what I'm talking about). I also recommend boiling your parts or using a steam sterilizer bag to kill off any bacteria every other day or weekly. Also, if you ever lose your valves or rip them, and need to replace them ASAP the Medela valves and membranes are compatible with the spectra S1, S2, M1, and 9 breast pump flanges. If you decide to purchase this breastpump, first check with your insurance if you are eligible to receive a free breastpump covered by your insurance. Call and ask to see if your insurance company's DME supplier for breast pumps is Edgepark medical. Edgepark carries the S2 model and the 9+ model. I'm sorry if this is lengthy, just wanting to make this as clear as possible to understand.

How many/what accessories would you recommend for a first time pumper who will be working an office job M-F, 8-530?

ALL you need are milk bags and a bag to carry it all in. It sounds crazy, but I pumped DIRECTLY into the bags! I really liked the Lansinoh brand milk bags and a Vera Bradley tote for carrying everything. There's also no need to refrigerate fresh milk for up to 9 hours, as long as it is kept at room temperature. So I just put it in the VB bag, rinsed out the shields and attachments before and after using and stored them in the bag between pumpings. I washed the parts thoroughly every night and refrigerated the milk as soon as I got home. It was never unrefrigerated for more than 7 hours. Storing everything in the bag, including the milk, ensured that I would never leave work and forget my milk! I pumped for 3 years total for three kids, so I have tried all of the pumps and accessories and methods. This is the best pump and the easiest way to do it!

Could you please tell me what all comes with this specific pump? Is everything included to use as a double pump?

Everything you need to use as a double pump is included (two tubes, two back-flow valves, two breast shields, two valves, two bottles, and two caps for the bottles - I think nipples for the bottles, too, but I've never used those). I love this pump - I had a Medela pump for my first kiddo and this one has been working much better for me.

Where is the adapter that lets you dual pump. I got mine in from Amazon today and couldn't find the adapter anywhere in the box. Does it come with it

There is no adapter, there are 2 places to plug the tubes into- you simply remove the "clear plastic top" off of the bottom hole on the bottom of the machine. If you want to dual pump just plug each tube into the holes on the front of the machine- when you only want to pump one- just replace the "clear plastic top" back. Also note, this clear plastic will not fall off it is attached to the machine. I think the instructions in the box are out dated. I hope this helps.

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The Spectra S2 Hospital Grade Double Electric Breast Pump is simple and easy to use. The great features of the Spectra S2 will help you while breastfeeding making life easier and expressing quicker. It is extremely quiet allowing you to express even next to your sleeping baby. It has a closed system to prevent milk backflow which makes it safe and hygienic for you and your baby. in. The unit comes with All the BPA free accessories and two breast shield sets to allow you to double pump for time efficiency or simply use one for single expression. It has powerful, fully adjustable suction that includes a massage mode to encourage letdown and the ability to adjust suction strength and cycle speed to best suit your body. Includes: - Spectra S2 Pump Motor - Breast Shield Set x 2 - Backflow prevention filters x 2 - Bottles stands

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Manufacturer	Babyland
Product Dimensions	20.07 x 20.07 x 17.02 cm; 1.5 kg
Batteries	Lithium Metal batteries required.
Item model number	Spectra S2Plus
Is Discontinued By Manufacturer	No
Color	White
Item dimensions W x H	20.1 x 20.1 x 17 cm
Are Batteries Included	No
Lithium Battery Packaging	Batteries contained in equipment
Item Weight	1.5 Kilograms

Spectra S2 Hospital Grade Double Electric Breast Pump

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