I ordered this item for one of my student medical doctors who lost her father two months before graduating medical school. Her father had a very special influence on her career decision. I had her name with M.D. engraved on the front, however on the back it was engraved M.D. "My Daddy". Needless to say, my student was extremely overwhelmed and happy all at the same time. It is something she can keep forever and know her father will always be with her.