It's not an easy job to treat patients, but it's more relaxed when they're wearing a gag! This ball gag made of 100% pure silicone, totally safe, non-toxic, and it's completely neutral taste. The unique design keeps the ball-gag securely in place, while the high-quality leather strap is contrasting beautifully against your sub's face cheeks. The gag fits easily, using a locking buckle closure. Features: 1. Three gag sizes: Diameter 1 1/2', 1 3/4' and 2' inches / 35, 44.5, 51 mm" 2. Quality Leather and Non-toxic Silicone. 3. Has comfortable leather lining to cover the rivets. 4. Quality locking buckle for secure closure. 5. Gag fits around the mouth and above the neck circumference 17 3/4' - 22 3/4' inches/45-58 cm". Please contact me if you need a different size.