Creating the drawings, and preparing a wax mold by hand.

Add prongs and other fittings to wax mold.

Test stone fittings and confirm design with client for approval.

Casting the ring in metal of choice (i.e. gold, platinum, sterling), and polishing before setting of diamonds or stones.

Setting diamonds and/or other stones.

Finally, you are left with a beautiful, custom ring exactly designed to your specifications and desires.