The book begins with a brief history of mother-of-pearl production. It covers most regions of the world, though each country is summarised in only a few paragraphs. Unfortunately, the items illustrated are all from the authors' collections: "The scope of this book is confined to material we have personally accumulated over the past ten years. It does not encompass museum collections or other private collections."
Most of the pieces are trinkets and accessories. A lengthy chapter on mother-of-pearl carvings is of more interest, as are related chapters on decorative arts and religious ornaments. One of the most notable examples is a model of the al-Aqsa mosque presented to King Hussein of Jordan.