For older kids the third side is good (reinforced head is good as it keeps them from kicking themselves. It's solid and nice padding. If you use some sort of replaceable liner , don't cover those - slip bottom becomes almost ineffective A strap to secure will keep it from falling off the table but not from moving To be honest this would probably be perfect if you had a changing table top that one side has to keep them not a bad product, I was just hoping to use it on a dresser without adding a changing table.
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