For my first born I used a medela pump in style original. I liked the varying speed and suction adjustment available. I no longer have that pump unfortunately. I need to buy a new one but money is a factor so as much as id like the PISA I can't afford it. I need a pump with strong suction and adjustments for speed and I'm on a 200 dollar cap. I've done a lot of research on pumps vacuum range. I've used both a lactina and a symphony for my first and both worked well but needed to be cranked up. I've decided Ameda PY wont work. So I've been looking at maybe a lansinoh or a Philips avent. I'm not sure about lansinoh but I'm torn between two of the avent pumps. The Isis IQ aka twin electric or the new comfort pump in the single version. Tandem pumping is not huge for me as I usually pumped one aide at a time anyway. I like that the Isis IQ allows you to set your rhythm and suction with control handle. I have become efficient at manuals it'd just get tiresome. I am interested if their new pump has this feature too but I can't tell by the description? As for the lansinoh i had a hard time with medelas hard flanges and I'm worried I will find the same for the lansinoh. Has anyone used these pumps? Do you have advice? Also I just wanted to mention too I have looked at the medela swing buy I'm afraid the motor wont be strong enough for me. I can't.find the mmhg on that one.