Absolutely beautiful.
I bought two of these necklaces: one for my best friend and one for myself.  We are both nurses, and these were perfect.  The design is realistic and the heart charm itself is really pretty.  It is hollow on the back side, so it lays flat against your chest as you wear it and doesn't bounce around/ get twisted.  The sterling is high quality. The chain is nice and light.  Overall assessment: this is very well made, beautiful, good quality, and a great value for the price.  Highly recommend.
Rating: 5 stars