I purchased this here, and it was worn once by the previous owner and once by me. The ribbon can be tied in the front or the back. It's cute as is, but it looked especially cute paired with a white tank top romper or a white T-shirt. This is size S, the smallest size. It's about a 70! I bought it to put on my baby who was exactly 2 months old, but it felt a little big, so I adjusted the straps slightly. I'm also selling the same style in size M, red. Baby Hawaiian Creations