Assorted bows and a flower on Velcro change up this chemo hat for my sister. And the bonus is a rice paper heart to wear on hat, shirt, or sleeve. It has Velcro and a pin back. My thinking was: everyone who breaks a leg gets to have all their friends to sign their cast - now a cancer patient gets to have her friends sign her head! Even with tiny writing, she already has it almost filled up with friends, family and nurses. She made her doctor sign legibly.