Comes in 7 inch, 7 1/2 inch, 8 inch & 8 1/2 inch We can make your bracelet any size - Select the smallest size available and in the "special instructions" let us know the size need. Well take care of it at no charge. - If youd like the bracelet larger there may be additional cost and we will contact you before producing. Each bracelet chain comes with a lobster claw clasp. This Bracelet is Unisex and is made for a man or a woman. Bracelet has an id plate which is approximately 1 3/4 Inches Wide x 1/2 Inches Tall. This is made of Solid Sterling Silver. Medical Symbol Size May Be Altered And Moved to Fit Front Engraving if ordered.