This is a grandmothers personalized necklace. Sitto (or Sito) is Syrian for grandmother. Other favorites are Nana, Mimi, Nonnie - how sweet would it be for grandma to have what her grandbabies call her on her own necklace with their birthsones. Because she has a unique name there is no generic jewelry for her! This is on a rectangle, squareand oval available in a thick sterling silver tab. Your choice of number of birthstones! Price includes your choice of chain length in 16", 18", 20" or 22" sterling silver ball chain. You may choose the shape of the tab. Just let us know the spelling, shape of tab, birthstones (or months) and length of the chain.