There is a yellowish stain right where the head would be. Please check the photos. I used it with sheets or covers, so apart from that one spot, I couldn't find any other stains or dirt. If you are concerned, please contact me and I will provide additional photos or answer any questions you may have. There are no pets or smokers in the house, but please understand that this is a used item before purchasing. It will be shipped wrapped in a plastic bag and placed in its original vinyl bag. DockATot grand for babies with high cushioning properties - Brand: DockATot - Color: Blue - Size: Baby - Material: Cotton - Features: High cushioning Thank you for looking.