Yes, I think the exercise and diet are critical, too. The effects of cupping combined with massage rolling provide some pretty amazing results. I think it is even more effective if you dry brush first, then cup, then roll. The videos that lady does explain all of it. I use cheap cups and rollers. I got them off ebay for just a few dollars and bought a few at a time while I was trying it out. The effects are still good even with the cheap, generic cups and rollers.