Gently used! Some smudges (see pics) included safety strap SOLID PROTECTIVE LAYER FOR EASY CLEANING - The only shell over foam changing pad on the market, making it the only one that is completely impermeable to fluids ORIGINAL WIPE DOWN CHANGING PAD - The Original Made in USA, easy-to-clean changing pad ONE OF A KIND MATERIAL - Proprietary material tested in Medical and School environments not used by any other manufacturer SQUEEZABLY SOFT, EVERYDAY STRONG - The only solid skin over foam changing pad on the market HIGHEST SAFETY STANDARDS FOR BABY PRODUCTS - JPMA 2.0 Certified