I bought this backpack for my 9 year old daughter, who has Type 1 diabetes, to carry her glucose monitor, insulin pen, and a few snacks around with her. The backpack is the perfect small backpack size for her. The problem we have with it is that when she's wearing it, the velcro opens from the top flap. It could be since she's larger than the preschooler this was designed for, but still. I may just add more velcro to the top. She likes that it has the top handle and the straps. It's getting a bit dirty too. I'm thinking it may be able to be put in the wash, in a net bag. All in all a great backpack. You may have to add some velcro to it.