James Avery Sterling Silver Included: Charm Bracelet 3 charms attached: - Stethoscope - A initial - She Believed Never used this bracelet. Recently purchased it but I just had a new one made at JA so this needs a new home. This was purchased as a size medium (7 5/8 inches long according to James Avery). I’ve included a set of 3 photos of how it fits my wrist - I have a xsmall size wrist. To fit my wrist perfectly, I have to use the third link as shown so if you have a smaller wrist, this is what you’d need to do or have a few links removed by JA. Please note: Sellers incur a 20% fee upon purchase If you are browsing as a guest, feel free to use code FAB_FASHIONISTA in order to receive a $10 credit for a future purchase.