This listing is for a 1/4” wood cutout rustic baby hospital door hanger. There are three layers, background, monogram & name. This adorable rustic hospital door hanger makes a wonderful baby shower gift or a great addition to any farmhouse themed nursery. Please make a note with the monogram and name you would like added. When selecting the option for stats please know that the removable stats option comes with a visible wire that the piece is attached to & the permanent option is glued on with a hanger glued to the back. We DO NOT use MDF. It comes painted as shown unless prior color changes have been discussed.