No writing, and I barely used it in class, so I think the condition is good as it was stored at home! I think it's good for understanding anatomy for the national exam too! Notes to deepen understanding of anatomy. - Title: Sawa Ken Lecturer's Anatomy Notes 2nd Edition - Author: Sawa Kenkyujo - Price: 1200 yen (tax included) - Language: Japanese - Genre: Anatomy Thank you for looking.