The Keekaroo Peanut Changer is unlike any other diaper changing pad! Its strong outer shell makes it impermeable to ANY fluid, so clean up is easy. That solid shell on the diaper changing pad also limits bacteria growth or deterioration. Made in the USA from our state-of-the-art, Dura-Soft material, the Keekaroo Peanut Changer makes extra covers and pads unnecessary, saving money and clean up time. We’ve had for 1 year and still looks like the day we bought it! Comes with strap that was never used