This mala is made using wood beads and a medicine bead. The center bead on this adjustable wrist mala is yak bone with imbedded turquoise and coral. This combination is perfect for integrating into your meditation practice. Each wood bead approximately measures 8mm and It is made adjustable that would fit any wrist size. It comes in a handmade cloth bag. Mala beads are usually used for meditation, counting mantras, prostration and so on You can usually see lots of Tibetan buddhist monks and lay persons use malas while they go around stupas or doing prostrations all over Tibet, Nepal and India. In the monasteries monks use mala for Buddhist Phylosophical debading. You wear it around your left wrist while the mala not in use.