In good used condition Happ memory foam changing pad is included There is staining on the corners, shown in photos From the website: For days when you're running around and need a comfortable yet chic solution, meet the Levy Backpack: a modern, versatile diaper backpack designed for effortless hands-free carrying with tons of compartments (9 to be exact!) for your daily necessities. A wide zippered flap gives you sweeping views so you’ll never be digging again and wide comfy straps give you the support you need and will never strain your shoulders. Feel chic instantly with this fashion-forward, soft-and-feminine backpack design!