Adorable Ruffle Bottom Diaper cover can be worn alone over diaper, paired with a onesie, under a tutu, pillocase dress or perfect with my Reversible Pinafores. All seams are professionally finished with a serger. Made with elastic legs & waist casing. Many fabric choices available. Sizes available are 0-3, 3-6, 6-9, 9-12, 12-18 or 18-24 months. Also available without ruffles for boys or girls.