There are no significant damages or folds. There is writing on only one page (see photo 3). The inside is in a condition that allows for reading without any problems. I have checked the book, but there may be other overlooked writings, so please purchase with your understanding. My family member developed colon cancer, and this book was very helpful in preparing meals after their discharge from the hospital. Thanks to it, they have safely passed 100 days after surgery, so I would like to offer it to someone who needs it.