handcrafted Genuine pearls,features the Blessed Mother, Virgin Mary, as Our Lady of Grace and Miracles of the Miraculous Medal. hand drilled. Hand knotted in between each pearl. Pearl size 6-6.5mm, Adjusts from 7 - 8.50 long. Medals are just over 1 long.  Spiritual gifts, Catholic jewelry, handcrafted jewelry, religious jewelry, one of a kind jewelry, gifts of faith