I highly recommend bringing some kind of portable changing pad with you if you are traveling with a baby, because the change tables on board are not padded and often do not even have any kind of edge to prevent the infant from rolling off. Not that there is a lot of space to roll off into! It will be a lot more comfortable and safe for the baby if you have something to put down on that hard plastic surface: even just a regular blanket or towel would be better than nothing.
Once you've managed to get your baby on the change table, you do the usual gymnastics to keep them from rolling off or rolling over while you change them, while also hoping there won't be any turbulence. I probably don't have to tell you that it is a good idea to have your wipes and clean diaper ready so you can do this as fast as possible.
And afterward, it is really, really nice to use antibacterial wipes or gel on your hands, because washing your hands effectively in an airplane sink is even more difficult than changing a baby's diaper.
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