"Handmade surgical scrub cap made of 100% cotton with elasticized pony tail pouch and ribbon tie! One size fits most, but if you have very long, thick hair, please send me a buyers note so I can adjust the ponytail holder accordingly. Due to some of the fabrics being custom printed and made to order, some fabrics will be stiffer than a \"quilter cotton\", but will soften after washing. Please note: I try my best to center all patterns as depicted in the listing, but because the listing is for th Scrubs, Scrub Caps Surgical, Scrub Hats, Scrub Caps, Chemo Caps, Ribbon Tie, Nurse Hat, Ponytail Holders, Caps Hats