I keep this covered with a changing pad cover all the time and it holds up very well. If it gets wet or dirty, it just wipes clean. I can tell it's comfortable for my baby to lie on when I'm changing or dressing him. It fits my changing table well (Graco Sarah). The only thing to watch out for is snagging objects on it while your changing pad cover is off. Before, as I was changing out the cover, I snagged my wedding ring on it and it made a small snag through the material. It didn't damage the performance it is more for the look of it. I am just more careful when I'm changing the cover now. Overall, a great product.