This heart stethoscope charm is perfect for healthcare professionals. Made from high-quality materials, it is a must-have accessory that adds a touch of personality to any outfit. Show your love for your profession with this charming piece. * 18K Gold Plated * 16.5x20x2.5mm All charms come with 18 gauge 24k gold plated stainless steel jump rings, pre-installed to each charm. Our jewelry is carefully curated to make you feel beautiful and confident. We take pride in utilizing premium components sourced from high-quality materials. For instructions on install charms to necklace or carabiner, please see our video tutorial here.