It's very comprehensive - it even has a page just for hospital bracelets. The picture suggestions for each page are nice, but you can easily ignore them since the page titles are more generic. Ex: I forgot to save a clipping of the newspaper on his birthday, but since the page title is "My Arrival", I just placed extra pics of hospital visitors instead, and covered up the suggestion. I didn't have to feel bad about a blank page. It says it's only up to 4 years, but all that's missing is a page for the fifth birthday. There are extra pages immediately afterwards which you could use for the same purpose, if you're not too picky about those things.