Let me start by saying this pump is a BEAST in the best way possible. As someone who struggled with supply issues using cheaper pumps, the Symphony Plus was a game-changer. The Initiate program genuinely feels like it's mimicking a baby's natural nursing rhythm, and yes, my output increased noticeably within days.

The power? Unmatched. I've got dense breast tissue too, and this thing empties me completely in 15-20 minutes where other pumps left me engorged. That 'hospital-grade' label isn't marketing fluff - the suction is strong but surprisingly comfortable once you find your ideal settings.

Now the not-so-great: This isn't your cute little portable pump. It's bulky (think small microwave size), and that power cord will trip you at 3AM. I nearly cried when one of the rubber feet popped off during my third week - for $2K, can we get some better glue, Medela?

Customer service horror stories are REAL. Mine developed a weird whining noise after 5 months, and getting it serviced was like negotiating with sleep-deprived zombies. Pro tip: Buy from somewhere with an extended warranty option.

Final verdict? If you're exclusively pumping or have supply challenges, this might be worth mortgaging your soul for. But if you're just occasionally pumping, the price tag will hurt more than engorgement.