Flange sizing is important to an exclusive pumper. Access to 10 days of telehealth secured messaging app to provide Dr. Ashton with photos and videos discreetly of your breast/nipples to access size. Overall time is 50-60 minutes that can have an estimate roughly 48-72 hours depending on your pump sessions/Dr. Ashton's availability. You can pick anytime slot, once Dr. Ashton has received your request she will contact you via text to download the secured app and start the process.