I care for a paralyzed bed-bound parent & am always trying to find good products. This pad is thick and covers the area needed. It is basically an adult fitted brief without the tabs to fasten it - which is best for bed bound patients (no risk of the tab tearing fragile skin). I was surprised at how large they were. I was expecting just a larger Poise type pad. Theses are full sized diapers without the tabs & are great for overnight use. You have to experiment to see what's best for your needs of course, but as a caregiver, I can say that these are a good quality underpad/diaper combo.