Actual Item in Photo?: No, Stock photo. Artist will make the item as close asPlease refer to the description for more information including sizes, artists name and stone information. THANK YOU for helping us Support our local Native American artists.Native-Bay has the largest online selection of Authentic ONLY Native American Jewelry. All items are Proudly Crafted in the U.S.A.Verified Authentic. All stones used are Natural and hand-picked by the Native American artist. NEW condition with retail tag still attached.If the item is a pendant and it is photographed with a chain attached, you will receive the chain as well. Rings can be resized to any desired size for an additional $27 (Please note that it might take the artist 3-5 extra business days to resize the ring). Please contact us for resizing.