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 I didn't use it very often, and it's in good condition. "Basic and Clinical Nursing Techniques from the Perspective of Evidence and Accident Prevention" Kazuko Nomi Price: ¥5500 #KazukoNomi #Kazuko_Nomi #book #nature/medical_science/health