The item is a Saint Agatha sterling silver oval medal with a 18 inch or 45.72 centimeter long silver curb chain. The chain will have a spring ring catch. The medal measures 20 x 14 millimeters and it says Saint Agatha Pray For Us on the front. The back has the caduceus. I will have to have the medal made and then assemble it so please allow a week before I can ship it. I will provide a nice pendant box. Saint Agatha is the patron saint of nurses , rape victims and breast cancer patients.