THIS PACKAGE CONTAINS (1) STUDEX UNIVERSAL EAR PIERCING INSTRUMENT KIT AND 24 PAIRS OF EAR PIERCING STUDS. 1 DOZEN 24K GOLD ASSORTED BIRTHSTONES AND 1 DOZEN SILVER ASSORTED BIRTHSTONES. THE INSTRUMENT KIT CONTAINS THE R993-S UNIVERSAL PIERCING GUN INSTRUMENT, ADAPTER CLIPS FOR REGULAR, MINI, & LARGE EARRINGS, STERILE ALCOHOL PREP PADS, 1 PAIR PRACTICE EARRINGS, 1 TUBE EAR CARE GEL, 1 NONTOXIC MARKING PEN, AND INSTRUCTION MANUAL.