I loved this stethoscope until it was stolen.  I thought sound-wise it as as good as my Littman for what I need it for.  It is definitely cheaper than the Littman though.  One of the caps came off instantly within the first week.  It was a beautiful and thick stethoscope, and I liked the sound.  I bought this one specifically, because I thought no one would steal it, but alas it was too tempting for someone.  Got lots of compliments and some people even asked if it was real gold, or copper-plated!