This was made for a customer looking to incorporate the staples he received from a life changing back surgery into a sterling silver ring. Much like the Sonja’s ring, he wanted the staples cast into the silver. With his ring, there were to be quite a bit more than Sonja’s, 36 to be exact. He asked me not to straighten or alter the staples in any way (When they are removed from the skin they are bent in the center with a plier like tool.) He described the vibe he was going for was a sort of organized chaos. I believe this was achieved with this piece. Thank you Jim. If you have surgical staples that you would like me to make into a ring or any piece of jewelry, please email me and we can go over options and pricing