We have one that is a chest of drawers with a changing top. Once she got too big to go on the top we filled up the changing indentation bit on top with all her stuffed toys, which is perfect as the sides stop them from falling on the floor. Top drawer is still nappies, wipes etc, bottom two drawers clothes. Works great. Never had an issue with walking upstairs to change nappy, but as I'm very tall I really hated bending over a bed or kitchen table. I definitely wouldn't want to be changing on the hoof with a bad back!