This was designed for my daughter and the creator of i.d.mii. The pewter stitched heart focal bead represents her congenital heart defect, repair surgery and how she has overcome all odds medically. The black Agate beads represent her strength and endurance in her fight. I added silver heart beads on the side with silver spacers to complete the significance and message of this bracelet. The stainless steel lobster clasp 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.