This clip is so cute personalized! The clip on the back is not made for thin clothing. I recommend using it with thicker clothing and using the $3 paci clip with plastic center when your baby is wearing thinner clothing (like a onesie).
The ribbon is sewn to make a loop at the bottom.
All you do to attach the pacifier is the following:
1. Put the loop through your pacifier
2. Put the clip through the loop
3. Pull the ribbon tight
Do not leave baby unattended with this pacifier clip. Do not allow baby to use this as a toy. Inspect before each use and throw away if any part of the pacifier clip is not securely attached or if it is worn. The use of this pacifier clip with a sleeping baby is not recommended. The recipient/buyer accepts all responsibilities and risks.