Hats may vary slightly from picture depending on where the pattern is cut in the fabric. Cotton scrub hat. Two fabric ties in back to adjust & fit any size head. With the fold up style scrub hat you have the option to wear it with or without the fold! See pictures for details. Returns - On a case by case basis. Please email us with any issues, we want you to love your hat! Shipping - We do offer international shipping. We are not responsible for the USPS. If an item is returned to us, we will credit you for the purchase, minus shipping & fees associated with that purchase. Please check the address you are providing us :) Side buttons are an option. Select hat with button option when added to your cart. If choosing to add buttons for masks, buttons will be 15mm, clear buttons. La Rams Scrub Hat - Adjustable, Fold Up