I love this brand for organic, chemical-free products. The naturepedic organic changing table pad lives up to all my expectations from the brand. I also purchased the organic cotton cover, and it is ok. The changing table pad is easy to clean, waterproof and comfortable. It has a snap on the back that you can attach to the back of your changing table, or bureau, whichever type of furniture that you are using as a changing table. This snap attachment prevents the table from slipping off the top of the table, which is very important, as the table is pretty slippery due to the waterproof covering/lining. There is also a strap set to secure your child to the changing table pad, to prevent them from rolling off the changing table pad. I love that this changing table pad does not have a strong chemical odor, especially since it is in the baby's room. If you purchase other plastic items for use in a baby's room, the off-gasing of chemicals can be very dangerous. Organic products like this naturepedic changing table pad are a great way to avoid many chemicals in your home, and your child's room. With this changing table pad, there are really no compromises. You get both a healthy, safe product to use in your home, as well as a waterproof item that is durable, easy to use and works as expected.