It's okay...
But you can get other items that are just as effective for less money.  Having said that, we have so far been blessed with no diaper rash issues.  Whether or not it helped prevent rash, we'll never know.  One bone to pick about this product... The container is a metal tubing which not only makes it difficult to get the cream out when you're running low, it also cracks when it's been bent so often while trying to get the cream out.  In addition, because the tubing is metal, it stays cold so it's not nice to use during the colder months.
Rating: 4 stars