Your pup says Thanks to their Medical heroes. Premium cotton dog medical print, with aqua underskirt. Lined in flannel. Top skirt gathers up with rick rack trim. Finished with red satin bows. Underskirt has an iron on graphic stethoscope. Velcro closure straps. Machine wash cold, lay flat to dry LENGTH XXS (7LBS) 10" XS (9LBS) 13" SM (10 TO 12 LBS) 15" MED (15 TO 20 LBS) 17" LG (25 TO 40 LBS) 20" XLG (50 TO 60) 27" Orders are custom made for a custom fit. Add pup's measurements to order. Order based on pup's length. Orders take about 2 to 3 weeks to fell, outfit is made at time of order