I used it with care, so there are no noticeable scratches. There are some lines drawn with a marker. I have used it for studying a few times, so please refrain from purchasing if you are looking for a perfect item. The number of classes was small, so the number of times I used it was also small, and it is in good condition. "Systematic Nursing Series, Supplementary Volume [4]" Hiroko Komatsu Price: ¥2300 #HirokoKomatsu #Hiroko_Komatsu #book #nature/medical_science/health