All of the congenital heart people are the inspiration for this bracelet. They fight a daily battle that most of us know nothing about, they are true warriors of life. Czech Glass and silver spacers surround the sterling silver alphabet letters. The stainless steel lobster clasps will attach to any of our “My Identity Doctor” identification plates. When placing your order, be sure to measure your wrist snuggly, and select the closest size in the drop down menu. Bracelet will arrive sized for your wrist with room for comfort.