Great condition and clean! Changing pad IS included! Selling as is. Final sale This convenient doctor bag opening uses a horizontal layout which allows for quick access that stays open during diapering emergencies. Easy viewing helps you find whatever you need at a moment's notice! Dr. BFF prescribes multiple carrying options providing versatility to meet your needs. Comfy backpack straps? Check. Adjustable messenger strap? Check. Handy grab handle? Check. Stroller attachment D-rings? Check. Trolley pass-thru to attach on your luggage? Check. Best of all, you won't need X-ray vision to find everything! The well-appointed pockets, inside and out, will keep all your necessities organized. The popular mommy pocket, insulated exterior bottle pockets, foam changing pad pocket, (and more) serve as your portable mom office! We've thought of everything and are confident that Dr. BFF is just what the doctor ordered! Dimensions - 13.5"W × 14"H × 6.5"D Smart Pockets - 17 pockets total; 7 exterior pockets; 10 interior pockets; Main compartment includes 3 elastic pockets, 2 interior bottle pockets, and 1 long zippered pocket. Mommy pocket with key fob includes 2 mesh pockets, 1 slip pocket, and 1 zippered pocket; 2 exterior expandable bottle pockets; Changing pad pocket; Zippered cell phone pocket; 1 long exterior zippered Durable Hardware - All-metal hardware; Stroller attachment D-rings; Stroller hooks ; Luggage feet Extras - Trolley pass-thru to attach on luggage; Machine