Defenitely the Medela. I breast fed all 3 of my children. I rented mine and my insurance actually covered the cost, some do and some dont. My sister in law actually bought the Medela it was a step down from the rental one I had, and it wasn't that much money, it was sold at one of the Baby Stores I believe, and you can actually turn around and resell it on ebay if you want, cause the person would only need to buy new accessories. I tried the other brands in the store also, trying to get away with not spending alot of money and wasn't impressed at all, I even tried the manual...I quit that really fast!