There are small, photo-like pills in places, but they're not noticeable at a glance, and I think it's in good condition. It's made of thick material and provides good waterproofing. Even if you wear diapers, it absorbs urine that leaks from the gaps and prevents the futon from getting wet. Depending on the amount of urine, it may not be able to absorb everything with just regular pants and this item alone.