The setting is permanently attached "Fixed" to the D Ring on one side. Being "Fixed" means that you will not have to worry about losing the charm, or fumbling with loose beads, like you might with a captive ring. Also it will always be facing the same way instead of spinning around backwards.

It can be set for a horizontal like for a nipple piercing which the D-Rings are really great for, or any vertical piercing like for a navel piercing. The Gem Setting can be made in either 14K White or Yellow Gold which ever you prefer, and in a wide variety of gem colors.