Blessed By Pope Francis St Lazarus San Lazaro Gold Overlay Crown Shaped Medal Pendant 14 Kt gold Overlay - Blessed by Pope Francis Medal is about 1.5 inches long and about 1 inch wide without the bale which is large and adds about 1/2 inch In the center is an image in the shape of St Lazarus Large bale for added security Lifetime guarantee finish - will not tarnish