This listing is for a zebra ribbon awareness pin. The black and white zebra ribbon represent carcinoid and neuroendocrine tumors, Ehlers-Danlos syndrome awareness, Endocrine and Rare Cancer, Primary Immunodeficiency Awareness, Rare Disease Syndrome, Stiff Person Syndrome, and zebra spoonie awareness. Zebra Striped Ribbon pin is sterling silver plated and measures 1 1/2 inches tall. Your pin will be carefully packed into a small gift box and will include care instructions and a small polishing cloth. Please contact me if you need any changes!