Medium Size is a 3.5″ Large Grosgrain Double Knot Bow made with 7/8″ Ribbon on Alligator “Stay-Put" Clip. Large Size is a 4.5″ Large Grosgrain Double Knot Bow made with 1.5″ Ribbon on Alligator “Stay-Put" Clip. Extra Large Size is a 5.5″ Huge Grosgrain Double Knot Bow made with 2.25″ Ribbon on Alligator “Stay-Put" Clip.