I bought this medal for my nephew's 1st communion and I was very pleased with the quality. The medal itself is about tiffany uk size of a nickel and the chain is sturdy. The image of St. Christopher is clean and defined. I only wished there was something on the back of the medal like, "Pray for us." It was blank except for the sterling silver mark. I think this is a great gift for anyone interested in wearing a St. Christopher medal.I bought them for the men tiffany jewellery my family for Christmas -- to keep them safe because of the driving they all do. The medals are absolutely beautiful. In fact I'm going to order four more for the women in my family. This review is from: Sterling Silver and Stainless Steel Round St. Christopher Medal, 20" (Jewelry)