I’m the same as bluerose, plasticized change mat on the floor in daycare room. I am not going to risk straining my back to lift kids or risk the liability of a child rolling off a change table. I’ve had lots of kids who actually tantrum and squirm for changes, and I just can’t risk an injury to myself or the child. Always use disposable gloves, and the mat is disinfected after each use. My hands are washed before and after.