We used a dedicated change table with our younger two. It's been a great piece of furniture. We still use it to dress our 2yo at a good height (which also limits him jumping and wanting to run off when we are trying to dress him). It is a wooden table with wooden rails to stop baby rolling off... had 2 drawers underneath the change surface and a large space to store nappies (I store my fabric nappies in a basket there). HERE'S what it looks like from above. I find that it's the perfect height and having everything close at hand is great. I couldn't deal with changing our babies on the floor/bed etc... they move around too much.... a table tends to "contain" them.