Our Black Sapphire Encrusted Compassion Necklace represents remembering compassion and showing love every day, even on those difficult days. Our medium compassion hand looks great on both sides and has been hand dipped in 18k gold (over sterling silver) and we have set a black sapphires around the wrist for extra sparkle, wisdom and confidence to the wearer. Set on our rhodium chain with gold logo charm detail. Hand made in the USA. Choose you're length!