I bought this stethoscope as part of a larger order simply because it was inexpensive yet had a slew of positive reviews on several different websites. I figured, "why not?" but I have to be honest: I was skeptical that it would meet any serious expectations. How wrong I was! It's certainly not an "expensive" piece of equipment in appearance, but I was amazed at how clear the sounds were! I have used it exclusively for the last few weeks during clinicals, and those who have tried it agree that it's far more a stethoscope than the price would lead one to believe. Sure, it's heavy (just looking at it will tell you that!), but it works remarkably well. And with the various bits'n'pieces that it comes with, one could be fooled into thinking it's far more expensive than it is. Would I recommend it as an inexpensive spare stethoscope, or a "learner" for new healthcare students? You bet! Would it survive the beating of long-term, professional use? Probably not as long as more expensive ones would, but if you don't throw it around and trash it, it'll give you a long life for the price. If you are seeking an inexpensive, yet fully functional stethoscope with great clarity, this is the one for you. The description is accurate, the package is well-equipped with customizations and spares, and it actually looks halfway decent too. If you're even "thinking about it," go ahead and spend the few bucks on it. You won't be disappointed.