Dr. Piper M.D. is the perfect mix of educational and imaginative play for kids (and adults) of all ages! Puppet is approximately 20 inches (top of head to bottom hem of shirt) and fits most children and adult hands. With hands, fingers and arms that are totally pose-able, along with a removable lab coat and stethoscope, there are hours of imagination and fun to play with. With 12 pages of detailed step-by-step instructions, including 20+ colourful pictures, you can make this hand puppet for the aspiring doctor or nurse in your life.