This sterling silver and Sunfire Gilson opal, Blue Gilson opal and Blue Moon Turquoise necklace is a beautiful piece. The symbols on the medicine mask have an cactus which honors the desert and broken arrow/land that represents peace. Medicine mask pendant measures 7/8" wide by 1 1/4" long and the inlay bail measure 20mm. Chain is sterling silver. Please inquire about all available options.