CHAIN IS NOT INCLUDED 7 INCHES or 8 INCHES We can make your bracelet any size - Select the smallest size available and in the special instructions let us know the size need. Well take care of it at no charge. - If youd like the bracelet larger there may be additional cost and we will contact you before producing. This Anklet is solid 14K Gold ID plate measures 3/4 Inch wide x 1/3 Inches Tall Comes with a Lobster Claw Clasp. 7 Inches is standard for women 8 Inches is standard for men. Medical Symbol Size May Be Altered And Moved to Fit Front Engraving if ordered.