Thank you for viewing. *Please read the profile before purchasing.* The quality label is missing, so it's unknown, but the fabric that touches the skin is likely cotton. The outside is a waterproof material, which was very useful for preventing sheet contamination during bedwetting. The waist is elastic. - Design: Animal print - Color: Cream - Material: Soft cotton - Waist size: Approximately 20cm (elastic) Please check the details of the size in the photos. It has been used a few times and there are no noticeable stains, but please understand that this is a used item that a child has used before purchasing.