NOW CUSTOMIZABLE! Pick your thread color for the words Little Sis! Pick from our thread color selection. Please note if we have the matching RIBBON we will put it at the center of the bow. If NOT we will use WHITE ribbon to match the hat. This beautiful hospital beanie is HANDMADE IN THE USA and is made with authentic hospital hat material. This White Big Bow with Pink Center Ribbon Newborn Hospital Hat is also made with a 2 ply fabric for additional warmth and comfort and this hat is 100% authentic hospital-grade hat. This newborn girl hat is extremely soft and super stretchable providing the ultimate comfort to your little princess. White in color, this hat is accessorized with an oversized bow on the center front with a pink ribbon at the center and Little SIS embroidered on bow in pink thread color. Default packaging is always standing packaging unless otherwise specified.