Beautiful and Simplistic Stethoscope Necklace with a Stamped with Initial of Choice, and Birthstone Charm of Choice! Perfect Gift for Doctors, Med Students, RN Registered Nurse, Nursing Student, Firefighter, Paramedic or EMT! This looks elegant, simplistic and awesome! Very Lightweight and These truly look amazing. Includes: -Silver Plated Stethoscope. (About the size of a dime.) -Necklace Chain is an 16" Sterling Silver Rolo Chain. -Comes in a Box ready to Gift!