Unfortunately, I bought a size too small (these might run small). They do need a pad in them to really soak up the urine, but becasue of the material, the diaper does not get damp as the cloth diapers do. I can use these with a thin mini pad but this pup really needs a full maxi, and a full maxi will not fit. I will purchase again, but will buy the small instead of the xsmall :)
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