We got a pack and play with a changing table built in to keep down stairs. We also had a dresser up stairs that had a changing pad built into the top. I wouldn't have wanted to go without either. That said, the P&P never got used as such (Lily hated it) but she did sleep in the changing section of it for a while when she refused to sleep in her crib. Nowadays we just lay a pad on the floor to change her.