The Williams Obstetrics 21st Edition Study Guide is from the closing of a local estate with a large library of books, covering every subject imaginable. This is a soft cover book & is in excellent pre-owned condition. Doc had inscribed his name on the fly page & the family has asked me to block that & I have. The pages are crisp, the binding is still tight & while it might not pass as new, it's as close as it gets....if you have any questions, please feel free to email.