You can use the top of a dresser or a separate changing table. It is a good idea to purchase a pad to lay baby on top of when changing. Have a comfortable surface at a good height that won't hurt your back. Never take your hand or eyes off baby when changing him or her, especially if your changing area is off the ground; babies can roll off the table at the blink of an eye. Most changing tables have a strap with a buckle to make sure baby doesn’t roll off. It is always a good idea to use this.