The amazon product photos are a joke, theres no way I can be completely hands-free. i use an Avent pump, and the bra does not keep the flanges sealed well enough, no matter how tight I make the bra. The flange slips into the elastic/stretchy material area, instead of the firmer bra material, and slips away from making a good seal. According to the size chart I'm xs/s/m, but I suspect I should have ordered the larger size, the cup size is not big enough for my DDs. It does make double pumping easier, as it will hold the flanges in place if I need to remove my hands momentarily, but I still have to use my hands to keep them sealed enough to pump effectively. I can't complete a session totally hands free.

---Edit 6/21/12---

I changed my rating from 3 to 4 stars. I have to slide the bra down pretty far to get it to hold the flanges in place by the firmer material, but it works. It tilts the flanges down a bit more than ideal and requires some mid-pump adjustments, but its still more convenient to use this than not.