This is a handmade item, a commercially available bear-themed jumpsuit with face and rear markings sewn on. I used it about 5 times as an outer garment when my child was still unable to walk, during stroller rides. The inside is made of a fleece-like material, which is fluffy and very warm. The crotch area can be fully opened with a zipper, making diaper changes easy. I think it's cute for both boys and girls! It has been washed at home.