I must admit I was very skeptical about buying this online, and it is so expensive, but after using it for my work and practicums, I must say I am thrilled with the product. The other girls want one just like it because it truly picks up the heart rhythms and bowel sounds along with air intakes...unbelievable! I use the lowest volume setting on there, and the clarity is so definite; love the product. I am going to have my name ingraved on the scope so I never lose it! I would recommend this to others as well, because I am sure a stethoscope has managed to get lost or stolen sometime along the way, so if you would like to feel a little more secure, i suggest going to a jeweler and having your name engraved. It would be nice if your company could offer a service like that as these types of stethoscopes are very expensive! Great tool for anyone who is in the medical field and yes, I would recommend this highly.