This is a leather medicine bag with a buffalo totem. It is approximately 2.75 inches tall x 2 inches wide with a 36 inch neckstrap. This medicine bag is a great place to keep your favorite stone or crystal & is made of saddle tan leather. This item is MADE TO ORDER. Please read our policy on made to order items. This item is MADE TO ORDER. You will not receive the piece you see in the photos, we will make one similar for you. Please allow 3 to 4 weeks to ship & take the time to read our shop policies about MADE TO ORDER items. http://www.etsy.com/shop/thunderrose/policy?ref=shopinfo_policies_leftnav We have a selection of READY TO SHIP medicine bags & pouches https://www.etsy.com/shop/thunderrose?ref=l2-shopheader-name§ion_id=21023753 Handmade in the USA by Thunder Rose Leather. Leather Medicine Bag , Buffalo Totem Shamans Neck Strap