Although it is new and unused, the cover is slightly dirty due to being stored at home. The book itself is clean, but please refrain from purchasing if you are concerned about this. A practical book introducing healthy foods good for the intestines and stomach. - Title: The Stomach and Intestines Speak: The Dining Table Edition - Author: Hiromi Shinya - Co-author: Naoko Shinya - ISBN: 9784335760020 Thank you for viewing.