I bought this back in the day when we wore belts on our hips! It is genuine leather, studded on the edges, with a bit of a western bent. I think the fastening parts are made with real stone, but I'm not sure. I bought it in a boutique. It's hard to give an exact size, but it's probably a medium. It is designed to sit on the hips, and it measures about 35" around. It's too big on my 30" mannequin, and too small on me, 39". But it would best fit 32" - 36", I think.