My mom is going to be 82 soon and has a severe bladder control problem. She had been using 2 pads inside the brief type pads and still having problems, especially with leaking. When she tried these she found that 1 (added to the brief) worked better than the 2 she used before. She said the extra cost is worth it because she uses less. I am sooo glad she is happy because as everyone knows 'when Mama ain't happy ain't nobody happy'!