This is a beautiful stainless steel bracelet with a laser engraved charm with Gastric Bypass, No Blind NG, No NSAIDs on it. The charm measures approx. 3/4 inch across This bracelet is made of stainless steel and will not tarnish or turn and will withstand regular wear and tear. The bracelet easily expands to fit on any wrist size. This item contains small pieces and is not intended for children under the age of 14.