I just started using my 1st Simple Wishes Hands-Free Bra...after reading all the online reviews comparing it to Medella's, and I have to say, this one wins, hands down.  It is so adjustable in every way - and the front zipper section to adjust the width between your breasts is sheer genius, it makes all the difference in the world.  It's super well constructed as well, I am sure it will last a long time.  I thought I would wear this on top of my normal nursing bra, but it is so comfortable and non-slipping, I am just going to wear it on it's own with nursing pads inside.  I am having no problem popping the nipple shields in from the backside and then removing them from the frontside via the front slits...it takes a little extra time, but I would prefer this type of opening for the shields versus a velcro one, which would wear out very soon with constant use.  I'm a FT mom pumping six times a day, so this is saving my sanity.  With the Medella breast pump that comes in the backpack, I can go all over the house doing all sorts of things!!!!  Wish I had had this last time around...I know I will be able to pump many months longer now that I am not tied to my chair, holding onto those bottles while trying to sooth a screaming infant bouncing on my lap!!