Excellent Condition Very clean In fact, it's new, I just lost the shoulder strap, Does not come with changing pad. Please see the photos carefully 2 exterior insulated bottle pockets, with Thinsulate by 3M. Keep it warm? Keep it cold? Sure! Unique main zipper closure system makes for easy access Picture pocket to keep photos handy when bragging to friends messenger bag or tote bag to suit the needs of the day. Spacious and structured, this bag provides ample space for all your daily essentials, and seven interior pockets keep everything neat and organized. Insulated side pockets keep drinks and snacks at the perfect temperature for baby (or you!).