I simply set our PBB on the changing table and unfold the pad and then place baby Breccan right on the pad and I have everything I need right at the perfect height!Other features include handle options. There are two shorter handles and they are VERY sturdy. In addition, there is an adjustable strap you can use as a shoulder or messenger style. That longer strap quickly comes off and can be replaced with two very short straps suitable for attaching to a shopping cart or stroller handle. No more messing around digging under your groceries to find the diaper bag full of toys and treats! I'm included a bunch of pictures to give you a better idea of what the PBB looks like. These aren't staged very well and were taken quickly to help answer questions from another mother in search of a cloth diaper friendly bag.