I am glad these exist and have been restocking them for a year now. They are an important player in the overwhelming battle that is managing severe childhood eczema. As for constructive feedback. There seems to have been some change with the manufacture at times, with some pajama tops wearing out very quickly and developing holes in the sleeves, while others have lasted until outgrowth. For the most part I have to rebuy before outgrowth occurs due to wear. Perhaps the fabrics could be sturdier, and the type of silk used could be settled on as it has seemed to change and sometimes not for the better. The pink teddy bear picture peels off, so I avoid that color. The trousers run really quite long. We pair the 18mo bottoms with the 2yr top. The pajamas with shoulder buttons and the sleeves with velcro are much better, as the other varieties are too easy to wiggle out of. It is thoughtful to offer the wet sleeves as well so that bathtime isn't so devastating on the skin during flareups.