Real turquoise ring set in sterling silver or 14k gold fill - the same exact stone may not be available, send us a message if you would like to pick one out. We will choose a beautiful option if there isn't one specified. Gold is an option as well. If your ring size isn't listed, let us know! He can make it in most any size. If there is a ring you like but want it on a bracelet, earrings or necklace - let us know! If you want the Turquoise to be the large stone and have the white buffalo as the small one - let me know.