Does not include removable pouch & changing mat. Just the backpack Product Features(Click to Close) Side pockets for quick access to water bottle and small items Secure front pocket Hidden zippered pocket Removable pouch can be worn as a cross-body Unclip backpack straps and clip bag onto stroller CHOKING HAZARD: May contain small parts. This product is not intended for children 3 years and under Interior pockets hold the essentials