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I hand express often. I always hand express after pumping, because I'll get another 0.5-1oz if I do. And sometimes I hand express instead of pumping, just because, for me, it's faster and I can get just as much milk (or more). And throughout the day when the baby is napping, I'll express a little here & there. I think it's a great skill to have, especially for instances where your pump isn't working, or you forgot to pack flanges or something like that.