Saint Therese of Lisieux gold over sterling silver oval medal shows her holding a crucifix and a bouquet of roses, and she is dressed in her Carmelite nuns habit. . The is made in the USA by skilled who hand polish each medal with a fine satin finish and hand engraved highlights, a layer of protective lacquer to help prevent tarnishing. Hand engraving is then applied to the medal followed by a layer of protective lacquer to help prevent tarnishing. Saint Therese the "Little Flower" is the Patron Saint of florists, missionaries, aviators and tuberculosis. Supplied with an 18" genuine gold plated chain in a deluxe velour gift box. Dimensions: 7/8" x 1/2"If you would like Professional Engraving for $20, call in your order to (888)664-1123, x1.