This set comes with all three tips; Small, Medium and Large. I generally use the small, for a single-strand of size 8, Valdani Perle Cotton and the medium tip two strands of the size 8. The large tip works great for six strands and heavier threads, sock yarns, etc. There is a spring included for the large tip, 2 threaders and a very detailed instruction booklet. A great price for so many options and in my opinion, the cadillac of punch needles