Nappy-changing twin 16 month-old granddaughters is like trying to put an octopus in a small bag! I have everything at arm's reach, otherwise they grab it before me. I need eyes in the back of my head because the other twin runs off with things, too. I change them on the floor, as that's where they'd be headed from the sofa, and the changing station is no longer safe - too high. I have a supply of objects to distract them - toys are not acceptable - TV remote, mobile phone, car keys or my purse. If I get most of their clothes back on, that's a result, and getting the soiled nappy into a nappy bag before it disappears into the toy box with my specs (that happened once) makes me a qualified gran, I think! 