We put this on our son’s long and low dresser and changed him there. We did not have a “change” table. I thought the straps were to attach the pad to a change table, but they are actually to buckle your child in while changing them, which once they start to move (when you would definitely want to be using the straps) the pad sides are so low and the pad is so light that even on a change table with rails, I could only imagine the baby rolling off the table with the pad attached if they wanted to roll. So we only used this pad for a few months because of this. As soon as our son could move at all we were worried and just changed him on the elevated crib mattress. We s add least felt, even when he wasn’t moving a lot that the potential to fall was there so we wouldn’t even go more than the one step to the diaper pail, and even that made me a little nervous. I would not buy this again. I would just use the crib. It was easy to clean and very plush, though.