My change table is an old computer desk - a bit narrow compared to some desks as in 20" but 48" long. I cut a 2" piece of foam to fit the top which I wrapped in vinyl you buy by the metre and taped edges with duct tape. I then have a blanket that goes over that. It sits just outside our mainfloor bathroom between there and laundry room (garbage can just inside door of laundryroom). Beside the table I have one of those 5 drawer plastic bins with diapers in for each child. On the shelf under the table are round icecream bins they put their socks and shoes in for naptime. In the bathroom I have shelves above the toilet with square ice cream pails - one per child that has a quilted change mat and any cream mom has supplied. The change mat goes down on the quilt, child is changed and I am right there for washing. I provide the wipes and just use one container. I buy the large boxes of refill that have 7-9 packages and store them on the shelves too.