We offer a gift wrapping service for a small charge so you can send your items directly to your friend or loved one - gift wrapped & ready to open! This beautiful necklace is made with Sterling Silver curb chain & Tibetan Silver charm pendant. ~Tibetan silver charm - Medical Caduceus ~Charm size 30 mm x 20 mm ~Sterling Silver medium curb chain necklace with spring ring clasp ~Choose either 18 or 24 inch chain ~Sterling Silver fixings ensures all pieces are hypoallergenic ~Each set comes gift boxed This jewellery is made in the UK using Sterling Silver (Ag925) fixings & Tibetan Silver charms from certified suppliers. Each set will be posted via 1st Class Royal Mail to ensure your item arrives safely & securely. Charm materials: Lead safe, nickel safe & cadmium safe Medical Caduceus/Doctor Nurse Hospital Nhs - Sterling Silver Curb Chain Necklace With Tibetan Pendant Charm