Shape and Palpation of Skeletal Muscles, Revised 2nd Edition, Large Format, Edited by Keisuke Kawakami, Edited by Kaori Isobe Thank you for viewing. There are folds on the cover, etc. Also, there is a large dent on the spine. Please check the photos carefully. Everything in the photos is included. Please understand that this is a personally stored item. Please refrain from purchasing if you are nervous. Returns and refunds are strictly prohibited to prevent issues such as product substitution. It will be wrapped in cushioning material and shipped. Immediate purchase is welcome.