Depends on how hard you pump it. Most cupping does. The blue silicone ones only leaves a temporary mark.

Does the 10 pack include a pump?

Dear. customer, yes it also includes a pump as its components. Please refer to this ASIN's images. Have a good day:)

Is this product BPA-free?

Yes, I believe this product it BPA-Free.

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Units	1 Count
Brand	Hansol Medical Equipment

Professional Cupping Therapy Set & English Manual (10 Cups)

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