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, Specialized Field 2 - [11]" Kentaro Iwata Price: ¥2200 #KentaroIwata #Kentaro_Iwata #book #nature/medicine/pharmacy/health