Our Pull On Style Adult Cloth Diaper is made with soft, absorbent 100% cotton flannel. It has a six layered external soaker pad and two full width flannel layers. The soaker pad is attached at the ends on the inside of the diaper but is not in the interior of the diaper. This helps improve laundering and drying time. There is no fumbling with diaper pins, snaps or Velcro! Because they pull on and off just like underwear many persons with impaired dexterity can continue to manage their own dressing.