Well, I have IBS and a leaky bladder so I am protected 24/7 no matter what!! Sometimes I wonder if people know that I am diapered, but I try not to dwell on it too much. It isn't going to change anything. Changing in a public bathroom can be a bitch though, and I always try to find a family restroom if at all possible. So socially acceptable or not, I have a medical reason for wearing them, and I try not to care what other people think.