This is a very nice quality Nurse Lapel Pin that has excellent detail. Finished in a polished gold tone and accented with a black lacquer. The pin is 1 inch across and has 2 brilliant sparkling rhinestones. A VERY nice quality pin, much nicer than the photograph shows. Also comes with a military style clutch back. Also includes a cute little gift box that, if giving as a gift, is nice enough to give as is, without having to worry about gift wrapping.