These female dog diapers are reusable. Machine wash and dry. They do not include the absorbent pads. Women's feminine napkin works perfectly and attach with the adhesive strip. You decide how thick of absorbent pad you need for your dog.100% Cotton. We choose grade-A materials to increase your pet's comfort and acceptance, without "hard" or uncomfortable texture. Our diapers are created of breathable and soft fabric. It is economical and environmentally friendly unlike a disposable diaper. They make great gifts, and create a pleasant life for your pet. For your pets’ health and safety, we do not recommend using the diaper for repeat urination and ask that you please change your pet as needed. For small pets.