Made in Italy in 9ct gold, proper miraculous medal with the symbols on the back. 17mm tall and 12mm wide. Latin words on the front translate as “Queen conceived without sin, pray for us”. The symbols on the back include 12 stars (12 Apostles), Cross, M for Mary, and the two hearts representing the Immaculate heart of Mary and the Sacred Heart of Jesus. Chain not included, please phone if you would like to purchase a matching chain.