I posted a few days ago asking for suggesestions on how to use the Medela PISA pump without having to hold the shields to your chest. I got a lot of good suggestions and a great website, but last night I figured out a really simple way to pump hands-free. Using a Gilligan & O'Mally nursing bra, I put the shields on my breast without opening up the flap of the bra, so the cup holds the pump in place. I'm not super mobile with it, but I was able to lean forward to mess around with the laptop and lean back to watch TV. I have to tell you though, I'm just averaged sized. EBFing I'm only a C cup so this may not work for you better endowed ladies. I hope this helps. Happy pumping!