This keychain would make a great gift for anyone that has had an organ transplant or for yourself. Created to enhance your keyset with your favorite designs, this custom photo keyring adds a personal touch to your day-to-day routine. Made with robust fiberglass, this reinforced plastic key ring can be printed on the front, back, or both sides according to your choice. Made in the USA. .: Fiberglass - reinforced plastic keyring .: Glossy finish .: Includes plastic snap & metal ring .: One size: Size: 2.25 x 2.25 (5.72cm x 5.72cm) .: 0.1 (0.2cm) thick Please make sure that your address on your Etsy account is accurate as that is the address that your purchase will be shipped to. You will receive a tracking number as soon as your item has been shipped. Your purchase will be shipped using USPS, Federal Express or UPS. RETURNS/REFUNDS: Unfortunately, I do not accept returns, refunds, or exchanges; however, if there is a problem with your order, please contact me so I can try & resolve your issue. If you love all things vintage or antiques, have a look at my 1st Shop: https://etsy.com/shop/JCsDesignsandFinds If you love printable planners, checklists, etc., have a look at my my 2nd Shop: https://etsy.com/shop/JCsPaperDesigns Key Ring Keychain, Organ Transplant, Liver, Heart, Lung, Double Kidney, Pancreas, Transplant Gift