Used copies of volumes 1 and 2. Volumes 3 and 4 were purchased new. There may be some minor scratches. Kept in a pet-free, non-smoking environment, on a bookshelf away from direct sunlight. I can ship it immediately if you purchase this week. Thank you. - Title: The 19th Medical Chart - Author: Katsuhito Fujiya - Volumes: Volumes 1-4