This is a beautiful changing bag. It's made from lovely fabric and is so different to all the other bags out there. I haven't scored it higher because I think it's not entirely practical. It cannot be washed (only dry cleaned) and I suspect the lining and changing mat will become soiled over time and unfortunately they are not waterproof fabric. The velcro closure is noisy, and I'm concerned that over time it could snag on the beautiful bag fabric. It appears to be very well made and has plenty of room, but do consider whether you can live with some of the less practical aspects of the design.