*Surgical Steel 10mm length VCH piercing barbell. *The bottom ball is heavy and solid 8mm diameter. *The gem ball can be twisted to use any direction. *The barbell is reversible and can be used both ways. *You can use the small 5mm inlcuded on the top. *The heavy ball is used for extra pressure if needed. *WE ship in plain brown package for discreet shipping.