These diapers are reusable. They DO NOT INCLUDE the ABSORBENT pads. Women's feminine napkin works perfectly and attach with the adhesive strip. You decide how thick of pad you need for your dog. These suspender diapers are typically used for female dogs. Our female dog diapers have many uses. They can be used for females in heat or during their menstruation cycles. The suspender diapers can help with the healing process after being spayed. They also work for pets with inconsistency, untrained young pets or to complete an outfit. Providing an extra level of protection for your pet will prevent messes in your home or other locations. Our female diapers offer space for feminine napkins or incontinence pads. They include an inner sleeve to keep pads in place. The suspenders have three adjustments and are made with elastic for a snug fit. The suspenders button on and are redesigned for secure fastening. We chose stylish colors for your pet. Your pet will wear the suspender diapers with pride and look fashionable. They make great gifts and create a pleasant life for your pet. THERE IS NO STANDARD SIZING SYSTEM FOR PET CLOTHING. Pet clothing is based on MEASUREMENTS and not weight or breed. Before placing an order, please measure your pet's WAIST. Then compare your pet's measurements to the sizing chart provided in the photos and size options. Each and every different brand/style of pet clothing has its own sizing system. One brand size ‘X-Small’ can very well be another brand size ‘Medium’. Each brand, item and style has its own unique sizing chart. These diapers are reusable. They DO NOT INCLUDE the ABSORBENT pads. Women's feminine napkin works perfectly and attach with the adhesive strip. You decide how thick of pad you need for your dog. These suspender diapers are typically used for female dogs. Our female dog diapers have many uses. They can be used for females in heat or during their menstruation cycles. The suspender diapers can help with the healing process after being spayed. They also work for pets with inconsistency, untrained young pets or to complete an outfit. Providing an extra level of protection for your pet will prevent messes in your home or other locations. Our female diapers offer space for feminine napkins or incontinence pads. They include an inner sleeve to keep pads in place. The suspenders have three adjustments and are made with elastic for a snug fit. The suspenders button on and are redesigned for secure fastening. We chose stylish colors for your pet. Your pet will wear the suspender diapers with pride and look fashionable. They make great gifts and create a pleasant life for your pet. THERE IS NO STANDARD SIZING SYSTEM FOR PET CLOTHING. Pet clothing is based on MEASUREMENTS and not weight or breed. Before placing an order, please measure your pet's WAIST. Then compare your pet's measurements to the sizing chart provided in the photos and size options. Each and every different brand/style of pet clothing has its own sizing system. One brand size ‘X-Small’ can very well be another brand size ‘Medium’. Each brand, item and style has its own unique sizing chart. If you are between two sizes or your dog has long hair, order the next size larger. XXS: Waist 8" - 12" / XS: Waist 12" - 14" / S: Waist 14" - 16" / M: Waist 16" - 20" For SMALL Dogs ONLY!