Symbolic Design: This pendant features the iconic medical alert symbol, a cross with a serpent staff, meticulously crafted in 14k yellow gold and red enamel. We engrave please contact us with your request Durable Construction: Solidly built to last, this medical alert disk pendant measures 33mm (approximately 3 inches) in diameter. This pendant is made in America with real yellow gold. The weight of the pendant is at 5.2 grams Versatile Accessory: The pendant's classic design allows it to complement various outfits and occasions, making it a practical yet stylish choice. Easy to Wear: Equipped with a secure loop, this pendant can be effortlessly worn on a chain or necklace of your choice (chain not included).