Thank you for viewing. "Choshin-ki Tsuki Karada Zukan" (Body Encyclopedia with Stethoscope) With stethoscope I looked through it once or twice and then stored it. I used the stethoscope only once. It has been disinfected. (Please listen very quietly. You can faintly hear the sound of a heart. It's not the real thing, it's a toy.) There are wrinkles on two pages. Please refer to the photos. There is some creasing on the back cover. Other than that, there is no major damage, tears, or writing! *Please understand that this is a used item before purchasing. *Instant purchase is OK. *I look forward to your comments after purchase.