This is a beautiful bracelet with a laser engraved stainless steel charm that has “Gastric Sleeve No NSAIDs No Blind NG Tube” on it. The charm measures approx. 3/4 inch across. This bracelet is made of a Stainless Steel rounded box chain to withstand regular wear without tarnishing or changing colors. This item contains small pieces and is not intended for children under the age of 14.