Some of our friends blessed us with this pack and play before Emerson was born. It came with bassinet and changing table attachments, as well as this shallower section. This pack and play has been a life saver, and for the first 6 months of Emerson's life it was her bed in our room. After Emerson out grew the changing table attachment on her pack and play we had simply been putting a towel down on our bed and changing her there. That worked, but it got to be a bit of a pain, so once E was no longer sleeping in her pack and play I decided to repurpose it as a changing table. It has worked out beautifully. The pack and play still has the little diaper holder for the diapers and the wipes and I just put a towel under her to protect the pack and play from any "moisture" that might be flying about. I know it doesn't look as pretty as a wooden changing table, but it totally works for us. Also, beside the pack and play is our broken stainless kitchen trash can, that has since been repurposed as our cloth diaper pail. Again, may not look pretty, but it works.
I have found that when I need something if I just look through what I have, I tend to find a solution. It might not be adorable, but I would pick something utilitarian over cute any day of the week.