The paper parts are torn and ripped because the child played with them often. It's difficult to show everything in the images, but there are many places in the booklet that open or have parts inserted, and they are quite folded or torn. Almost all the parts are present, but some are missing. This is not a beautiful item, so please refrain from purchasing if you are sensitive to condition. Will be shipped via post without cushion packaging. "Molly's Wonderful Doctor Bag" By Miriam Moss