A disclosed breast milk expression system supports a pair of breast milk collection devices at the breasts of a nursing mother, allowing her to express breast milk while keeping her hands free. No special bra or other garment is required to provide support. The system includes a substantially rigid bar, a strap, and a pair of breast milk collection device connectors at or near opposite ends of the bar. The strap is comprised of a length of slender, flexible support material, significantly longer than the bar. The strap extends from a point at or near one end of the bar to a point at or near another end of the bar and can suspend from a nursing mother's neck, thereby suspending a pair of breast milk collection devices near the nursing mother's breasts to express milk from them. Numerous variations and methods are also disclosed.