The large size does a much better job of protecting the mattress top and side.
Pros:Excellent coverage
Cons:It is a little stiff
Overall: Yes, I would recommend this product.
Of all the sizes of reusable underpads available, 44x52 is the right size. Completely lies under shoulder to below knee and is wide enough to lap over the edge of the bed. Nicely washable without a problem in the washer. I haven't had them long enough to know how long they last, but they seem well-made and durable.
Pros:Excellent size, washable, seems durable
Cons:If you need this product, you already have enough cons that you don't need any more.
Overall: Yes, I would recommend this product.