Plain, a bit shiny but not flashy. I have sensitive skin and have been using it constantly for at least a week and have had no reaction to the metal. It doesn't stick to my washcloth in the shower, which has been a big problem with other belly button jewelry in the past. The stone rattles a bit at the base but doesn't look like it's going to fall out. I had no trouble loosening the grub screw. Overall very satisfied and would buy it again if I lost it.
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