Pearl rings generally feature a single pearl or two pearls in a setting. Often diamonds are used as accent stones in pearl rings. Akoya pearls, South Sea pearls, and Tahitian pearls are all popular choices.

One striking combination is to use a a white pearl and a Tahitian black pearl in the same setting.

Pearl rings are commonly given as wedding anniversary gifts. Freshwater pearl rings are the anniversary gemstone for the 1st year of marriage while saltwater pearls are the anniversary gemstone for the 12th and 30th year of marriage.