This is a great item so far from what I see.  It just so happens that the one I received has a bad clasp on it.  So I'm not gong to knock it for that, since its prolly just one of those few that came in a bad batch.  One twist of the wrist and it falls right off.  So I will be sending it back for an exchange.  Other than that, this item isn't designed for anyone that has a wrist that's bigger than normal, if that make sense.  It's also too snug, to the point that it makes it difficult to put on, w/o the help of someone else.  With regular wrist watches, u can easily take out or remove a link to re-size it.  With this item, there's no choice in resizing it, unless u take it to a jewelry store.  And obviously since its already pretty small/snug, u can only expect to down size this item if your wrist is extra small.  The only other thing about this that could be changed, is putting all of the charms on one side of the bracelet.  I'm my own personal opinion, I feel that since the arm/hand/wrist is usually in the down position, all of the charms should be affixed to the side of the bracelet that would face downward.  But I guess if your a lefty vs righty, then that would be a problem.  But that's something minor that jewelry store could also fix.

Update 2/14/13

Originally I had rated this a 4 star item, but now I've rated it a 3 star item.  This being that just recently, one of the charms has fallen off.  The other charms had looked as if there were about fall off soon.  But my g/f got them fixed.  So now she is missing one of the charms.