A sterling silver hand holds a bronze anatomical heart, and there's a 3mm rose cut Garnet on the back. It measures approximately 1 1/4" tall and comes on an oxidized sterling chain in the length of your choice. This will be sent via USPS priority mail within the US, in a nice little box tied with a raffia ribbon, ready to give. Please note that these are made to order and will ship 3-5 business days after ordering.