This natural Fresh Water pearl bracelet is accented by a delicate silver chain. This bracelet will fit most wrist, if however you have a someone with a large wrist please contact our office we may have to add a extender onto the bracelet. There will be a additional $1.00 for the parts and labor. Comes in a lovely gift pouch. For complementing necklace please see NA244,and for matching earrings EA626.