This is a good used and freshly washed and ready for the next Mama and her little’s adventures! It includes the original diaper changing pad, however I just discovered a small tear at the seam (see pic) that doesn’t affect the functionality - the pad is still soft and was also washed with the rest of the bag. I loved this bag, loved that it opens and the bright liners make it easy to look for items rather than feeling like you’re looking in an abyss. The pockets are so functional. Best of all - it’s machine washable! I had a yogurt stain I let sit dry for months and washed it out without any effort other than emptying out the bag and throwing it in the wash. You can’t get any better than that. This bag is ready for a new home. It comes from a smoke and pet free environment.