Sterling Silver St John of God San Juan de Dios Medal Oval 7/8 inch Saint John of God San Juan de Dios is the patron saint of Booksellers hospitals nurses the mentally ill and the dying Solid Sterling Silver Excellent Quality Workmanship nice detail Chain is NOT included To Choose from a Large Variety of available Italian Sterling Silver Chains Please follow this Link: www.amazon.com/s/ref=nb_sb_noss?url=me%3DA2LPCXI4JWH6NE&field-keywords=silver+chain