This was the stethoscope that was recommended when i began clinical rotations in medical school. I thought I'd be fun and get myself the Breast Cancer Awareness pink color. Biggest mistake ever. I would say any light colored steth will become stained either with pen ink or dirt. I've tried to remove the stains with bleach, lysol, alcohol, nail polish remover, but nothing has worked. Besides that physical flaw, I really do believe that this steth is very average. you're able to auscultate breath sounds fine, but when it comes to being able to identify abnormal low pitched heart sounds, it's really not that great at all. I would say INVEST in a Cardiology iii from the get go in a dark color, so it lasts you a very long time.