The Golden Trend medical ID bracelet is a fun mix of rope-style links and smooth double links. The 18 karat gold has been electrolytically applied as well as an acryseal protective sealant to assure long lasting wear-ability. This men's medical bracelet is offered with the Max ID which is most desirable by men and those with larger wrists. This ID is interchangeable with all interchangeable medical bracelets.