This Kidney necktie is designed exclusively by Maker V, a small boutique necktie company located in San Diego, CA. This gift would be the perfect tie for anyone who is working in urology, nephrology, or is a kidney donor transplant or recipient. Our neckties are designed to be stylish and subtle, making them the perfect accessory for any occasion. They are perfect for doctors who want to make a statement without being too loud or flashy. And because they are made in the USA, you can be sure that you are supporting American jobs while also getting a high-quality product.