Like SC said, give it a few seconds by pumping, releasing, pumping again for about
10-15 seconds then leave it pumped for about
1 minute. Then release the air out. Do it for a total of 3 times per day with a few seconds in between before pumping again.
On a follow up visit to my surgeons office I met a couple who had his surgery the same day as I did. The wife said she cheers her husband on by yelling, GO! GO! when he does his pumping. She said "I have a vested interest in his success".
We laughed so hard I think we baffled some of the newbies that were there to schedule their surgeries.
As far as the rings, they are still in the bag, I never used them.
Bill from Florida