I just received it on 12/21 and it's just a perfect stethoscope! I have used my Littmann Cardiology lll for about several years now mostly for my undergrad. in nursing school. My husband bought this for me and I have been obsessed with it! He also engraved my name on it which makes it more personal! I JUST LOVE IT! I am going to start my DNP program soon, it's time to buy new medical supplies. I would highly recommend this product for any medical professionals.